Active NPI
Harold B Hall, PAC
- Medical Physician Assistant
- Sinton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 02742
- 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, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286009002 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02742 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Corporation of South Texas | Current | Accepting new patients | |
| Community Action Corporation of South Texas | Current | 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.
-
dba Community Action Health Center
- Federally Qualified Health Center (FQHC)
- Alice, TX
- NPI 1063529642
-
- Federally Qualified Health Center (FQHC)
- Benavides, TX
- NPI 1609010131
-
- Federally Qualified Health Center (FQHC)
- Sarita, TX
- NPI 1639973910
-
dba Alice Medical and Diagnostic Center
- Pulmonary Disease Physician
- Alice, TX
- NPI 1528293487
-
dba Community Action School Base Health Center
- Federally Qualified Health Center (FQHC)
- Mathis, TX
- NPI 1396182739
-
dba Community Action Health Center Bee
- Multi-Specialty Clinic/Center
- Beeville, TX
- NPI 1912317801
-
- Pulmonary Disease Physician
- Alice, TX
- NPI 1053527283
-
- Psychiatry Physician
- Corpus Christi, TX
- NPI 1427170075
-
- Emergency Medicine Physician
- Edinburg, TX
- NPI 1679528459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.