Provider Demographics
NPI:1912041476
Name:HALL, PATRICIA DOLORES (MT(ASCP))
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:DOLORES
Last Name:HALL
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:MISS
Other - First Name:PATRICIA
Other - Middle Name:FIERRO
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT(ASCP)
Mailing Address - Street 1:116 NEW ORLEANS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-5819
Mailing Address - Country:US
Mailing Address - Phone:915-585-7493
Mailing Address - Fax:
Practice Address - Street 1:2001 N OREGON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3320
Practice Address - Country:US
Practice Address - Phone:915-577-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX151182246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist