Provider Demographics
NPI:1790805505
Name:HALL-HOSKINS, ADMERLE JUANITA (DO)
Entity Type:Individual
Prefix:
First Name:ADMERLE
Middle Name:JUANITA
Last Name:HALL-HOSKINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 768
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-0768
Mailing Address - Country:US
Mailing Address - Phone:713-213-7511
Mailing Address - Fax:
Practice Address - Street 1:440 INDEPENDENCE PKWY
Practice Address - Street 2:SUITE 3405
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8030
Practice Address - Country:US
Practice Address - Phone:713-213-7511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG81562083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine