Provider Demographics
NPI:1821293499
Name:HALL, HAILEY LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:HAILEY
Middle Name:LYNN
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 2201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-797-9498
Mailing Address - Fax:713-797-0661
Practice Address - Street 1:6651 MAIN ST STE F1500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-797-1144
Practice Address - Fax:832-825-7771
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0026292207V00000X
TXN5705207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1821293499OtherBLUE CROSS BLUE SHIELD
TX216706601Medicaid
3876634681OtherMYUTMB 3876634681-COMMERCIAL NUMBER
TXTXB110263Medicare PIN