Robert Victor Hallett, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

L9581 Issued in TX

Practice address

1113 Ellis Ave
Lufkin, TX 75904-3346

Phone

(936) 899-7184

Fax

(936) 899-7203

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hallett Heart PA

  • Interventional Cardiology Physician
  • Lufkin, TX
  • NPI 1275066615
  NPD (past) Authorized official
• Heart Clinic of Louisiana Diagnostic Services, Apmc

  • Cardiovascular Disease Physician
  • Marrero, LA
  • NPI 1689630121
  NPD (past)
• Kenneth L Entes MD Apmc

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1629276886
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1720004799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043346",
            "telephone_number": "936-899-7184",
            "fax_number": "936-899-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043346",
            "telephone_number": "936-899-7184",
            "fax_number": "936-899-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLETT",
        "first_name": "ROBERT",
        "middle_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "L9581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171970001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172328004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0054LX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD0066",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Khoa Ha, D.O.
• Angela Caskey Hafernick, M.D.
• Haley B. McClendon, DDS, PLLC
• Hallett Heart PA
• Hallett Heart PA
• Jack Chandler Halter, M.D.
• Joi Denene Ham
• Jeffrey Scott Hamaker, M.D.
• Michael Stephen Hamlin, LMSW-C
• Carene Dawn Hammond, LPC

• Interventional Cardiology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Interventional Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.