Provider Demographics
NPI:1356357362
Name:HALL, CHRISTOPHER M (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:HALL
Suffix:
Gender:M
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:PO BOX 877
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:TX
Mailing Address - Zip Code:76950-0877
Mailing Address - Country:US
Mailing Address - Phone:325-387-2521
Mailing Address - Fax:
Practice Address - Street 1:301 HUDSPETH ST STE B
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:TX
Practice Address - Zip Code:76950-8004
Practice Address - Country:US
Practice Address - Phone:325-387-7911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP4177207Q00000X
NENE22908207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NED07270OtherBCBS PROVIDER NUMBER
I32050Medicare UPIN
278950Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
NE281987Medicare PIN