Provider Demographics
NPI:1902400575
Name:HALL, REGINA J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:REGINA
Middle Name:J
Last Name:HALL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10631 SARATOGA SQ
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2898
Mailing Address - Country:US
Mailing Address - Phone:713-705-1945
Mailing Address - Fax:
Practice Address - Street 1:12401 S POST OAK RD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-2021
Practice Address - Country:US
Practice Address - Phone:832-831-9894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist