Provider Demographics
NPI:1083955504
Name:WIN-HALL, DOROTHY MAI (OD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:MAI
Last Name:WIN-HALL
Suffix:
Gender:F
Credentials:OD
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Other - First Name:
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Mailing Address - Street 1:32360 STATE HIGHWAY 249
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PINEHURST
Mailing Address - State:TX
Mailing Address - Zip Code:77362-4041
Mailing Address - Country:US
Mailing Address - Phone:281-351-2332
Mailing Address - Fax:281-356-3634
Practice Address - Street 1:32360 STATE HIGHWAY 249
Practice Address - Street 2:SUITE 200
Practice Address - City:PINEHURST
Practice Address - State:TX
Practice Address - Zip Code:77362-4041
Practice Address - Country:US
Practice Address - Phone:281-351-2332
Practice Address - Fax:281-356-3634
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6117TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist