Provider Demographics
NPI:1437396868
Name:HALL, ALLYSON WEAVER (CRNA)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:WEAVER
Last Name:HALL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 650865
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0865
Mailing Address - Country:US
Mailing Address - Phone:713-553-3983
Mailing Address - Fax:713-862-7889
Practice Address - Street 1:3703 DRUMMOND ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2417
Practice Address - Country:US
Practice Address - Phone:713-553-3983
Practice Address - Fax:713-862-7889
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX683785367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered