Provider Demographics
NPI:1922159011
Name:HALL, DAVID BISHOP (FNP-C)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BISHOP
Last Name:HALL
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 GEORGE DIETER DR
Mailing Address - Street 2:STE. 270
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7601
Mailing Address - Country:US
Mailing Address - Phone:915-849-1200
Mailing Address - Fax:915-849-1220
Practice Address - Street 1:1400 GEORGE DIETER DR
Practice Address - Street 2:STE. 270
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7601
Practice Address - Country:US
Practice Address - Phone:915-849-1200
Practice Address - Fax:915-849-1220
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX680988363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F8702Medicare PIN