Provider Demographics
NPI:1184818692
Name:HAIL, DONALD W (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:W
Last Name:HAIL
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11884 GREENVILLE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-0585
Mailing Address - Country:US
Mailing Address - Phone:469-547-5821
Mailing Address - Fax:469-547-5825
Practice Address - Street 1:11884 GREENVILLE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-0585
Practice Address - Country:US
Practice Address - Phone:469-547-5821
Practice Address - Fax:469-547-5825
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7275237700000X
NM0630237700000X
TX80495237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist