Provider Demographics
NPI:1255410965
Name:HALL, CHERYL WOOD (DC)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:WOOD
Last Name:HALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-1949
Mailing Address - Country:US
Mailing Address - Phone:972-293-1880
Mailing Address - Fax:972-293-1880
Practice Address - Street 1:800 W BELT LINE RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-1949
Practice Address - Country:US
Practice Address - Phone:972-293-1880
Practice Address - Fax:972-293-1880
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6437111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTPI001793101Medicaid
TXTPI001793101Medicaid
TXU52568Medicare UPIN