Active NPI
Theodore Ray Hall, M.D.
- Urology Physician
- Houston, TX
National Provider Identifier
1992989396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G4592
- Practice address
- 11226 Southwest Fwy
Houston, TX 77031-3604 - Phone
- (832) 744-4686
- NPI assigned
- Dec 20, 2007
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G4592 | TX | Primary |
Addresses
Primary practice location
11226 Southwest Fwy
Houston, TX 77031-3604
Mailing address
11226 Southwest Fwy
Houston, TX 77031-3604
Phone (832) 744-4686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4592 | TX | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1992989396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11226 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770313604",
"telephone_number": "832-744-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11226 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770313604",
"telephone_number": "832-744-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "THEODORE",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-20",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "G4592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.