Individual provider Active NPI

Harold B Hall, PAC

  • Medical Physician Assistant
  • Sinton, TX
National Provider Identifier
1811931934
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
02742 Issued in TX
Practice address
621 E Sinton St
Sinton, TX 78387
Phone
(361) 364-4486
Fax
(361) 364-7385
NPI assigned
Jun 16, 2006
Last updated
Aug 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 02742 TX Primary

Addresses

Primary practice location

621 E Sinton St
Sinton, TX 78387

Mailing address

204 E 1St St
Alice, TX 78332-4822
Phone (361) 664-0145

Other practice location 1

2808 Industrial Loop
Beeville, TX 78102
Phone (361) 358-8411

Other practice location 2

502 E. San Patricio Ave
Mathis, TX 78368-2266
Phone (361) 547-4121

Other practice location 3

301 S Hillside Dr # 5615
Beeville, TX 78102-5307
Phone (361) 362-0307

Other practice location 4

1311 General Cavazos Blvd Ste 303C
Kingsville, TX 78363-7123
Phone (361) 592-3237

Other practice location 5

700 Flournoy Rd Ste 2A
Alice, TX 78332-4088
Phone (361) 664-1417

Other practice location 6

230 S Gulf St
Alice, TX 78332
Phone (361) 661-0388

Other practice location 7

101 W Potts St
Falfurrias, TX 78355-4906
Phone (361) 325-3673

Other practice location 8

1621 E Corral Ave
Kingsville, TX 78363-4142
Phone (361) 592-6481

Other practice location 9

1302 S St Marys St
Falfurrias, TX 78355-5034
Phone (361) 325-9404

Other practice location 10

115 W. Main St
Benavides, TX 78341-0641
Phone (361) 256-3663

Other practice location 11

201 Roots Ave
Taft, TX 78390
Phone (361) 364-7364

Other practice location 12

614 W Front St
Alice, TX 78332
Phone (361) 664-9587

Other identifiers 1

IdentifierTypeStateIssuer
286009002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000795 TX Practitioner - Physician Assistant 6709811060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
02742TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Corporation of South Texas CurrentSince Apr 6, 2010 Accepting new patients
Community Action Corporation of South Texas CurrentSince Apr 6, 2010 Accepting new patients
Jose Perez MD Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients
South Texas Psychiatric Associates, P.a. Past Accepting new patients
Alice Medical and Diagnostic Center, P.a. Past Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Community Action Corporation of South Texas Past Accepting new patients

Locations

204 E 1st St
Alice, TX 78332
Phone (361) 664-0145

614 W Front St
Alice, TX 78332
Phone (361) 664-9587

700 Flournoy Rd
Ste 2A
Alice, TX 78332
Phone (361) 664-1417

301 S Hillside Dr
#5615
Beeville, TX 78102
Phone (361) 362-0307

101 W Potts St
Falfurrias, TX 78355
Phone (361) 325-3673

1302 S St Marys St
Falfurrias, TX 78355
Phone (361) 325-9404

1311 E General Cavazos Blvd
Ste 303C
Kingsville, TX 78363
Phone (361) 592-3237

1621 E Corral Ave
Kingsville, TX 78363
Phone (361) 592-6481

621 E Sinton St
Sinton, TX 78387
Phone (361) 364-4486

201 Roots Ave
Taft, TX 78390
Phone (361) 364-7364

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1811931934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 1ST ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324822",
            "telephone_number": "361-664-0145",
            "fax_number": "361-661-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E SINTON ST",
            "city": "SINTON",
            "state": "TX",
            "postal_code": "78387",
            "telephone_number": "361-364-4486",
            "fax_number": "361-364-7385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2808 Industrial Loop",
            "address_purpose": "LOCATION",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "country_code": "US",
            "telephone_number": "361-358-8411",
            "fax_number": "361-492-5527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 E. San Patricio Ave",
            "address_purpose": "LOCATION",
            "city": "Mathis",
            "state": "TX",
            "postal_code": "783682266",
            "country_code": "US",
            "telephone_number": "361-547-4121",
            "fax_number": "361-384-4254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Hillside Dr # 5615",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781025307",
            "country_code": "US",
            "telephone_number": "361-362-0307",
            "fax_number": "361-492-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 General Cavazos Blvd Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637123",
            "country_code": "US",
            "telephone_number": "361-592-3237",
            "fax_number": "361-221-1856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Flournoy Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324088",
            "country_code": "US",
            "telephone_number": "361-664-1417",
            "fax_number": "361-384-4368",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 S GULF ST",
            "address_purpose": "LOCATION",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "78332",
            "country_code": "US",
            "telephone_number": "361-661-0388",
            "fax_number": "361-661-0422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Potts St",
            "address_purpose": "LOCATION",
            "city": "Falfurrias",
            "state": "TX",
            "postal_code": "783554906",
            "country_code": "US",
            "telephone_number": "361-325-3673",
            "fax_number": "361-221-1786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1621 E Corral Ave",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783634142",
            "country_code": "US",
            "telephone_number": "361-592-6481",
            "fax_number": "361-221-1837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 S St Marys St",
            "address_purpose": "LOCATION",
            "city": "Falfurrias",
            "state": "TX",
            "postal_code": "783555034",
            "country_code": "US",
            "telephone_number": "361-325-9404",
            "fax_number": "361-221-1728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 W. Main St",
            "address_purpose": "LOCATION",
            "city": "Benavides",
            "state": "TX",
            "postal_code": "783410641",
            "country_code": "US",
            "telephone_number": "361-256-3663",
            "fax_number": "361-221-1889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Roots Ave",
            "address_purpose": "LOCATION",
            "city": "Taft",
            "state": "TX",
            "postal_code": "78390",
            "country_code": "US",
            "telephone_number": "361-364-7364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 W Front St",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "78332",
            "country_code": "US",
            "telephone_number": "361-664-9587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "HAROLD",
        "middle_name": "B",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "02742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286009002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinton, TX

Sources for this page

Verify at the official NPI Registry.