Provider Demographics
NPI:1891895751
Name:HALL, NORMAN J (DC)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:J
Last Name:HALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5402 WESLEY ST STE D
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-6321
Mailing Address - Country:US
Mailing Address - Phone:903-455-8422
Mailing Address - Fax:903-455-8431
Practice Address - Street 1:5402 WESLEY ST STE D
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6321
Practice Address - Country:US
Practice Address - Phone:903-455-8422
Practice Address - Fax:903-455-8431
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2660111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0010944-01Medicaid