Dr. Jack Chandler Halter, M.D.
Internal Medicine in Lufkin, TX. Individual provider (NPI-1).
NPI number1225001084
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1225001084
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jack Chandler Halter
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D8255 | TX | Yes |
Practice location
402 Gaslight BlvdLufkin, TX 75904-3123
Phone 936-634-7522
Mailing address
402 Gaslight BlvdLufkin, TX 75904-3123
Phone 936-634-7522
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