Provider Demographics
NPI:1932688520
Name:HALE, HILARY (LVN)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:HALE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MC GREGOR
Mailing Address - State:TX
Mailing Address - Zip Code:76657-1524
Mailing Address - Country:US
Mailing Address - Phone:254-855-9891
Mailing Address - Fax:
Practice Address - Street 1:724 W 3RD ST
Practice Address - Street 2:
Practice Address - City:MC GREGOR
Practice Address - State:TX
Practice Address - Zip Code:76657-1524
Practice Address - Country:US
Practice Address - Phone:254-855-9891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health