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HALLSVILLE MEDICAL CLINIC PLLC
NPI 1295406775
General Practice in Hallsville, TX

Active since September 23, 2021CLIA 45D2234188 · Waiver
209 W MAIN ST SUITE D, HALLSVILLE, TX 75650(903) 668-7462(903) 668-7400 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2021, Sep 24, 2021 (2 updates tracked since 2021).

About Hallsville Medical Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HALLSVILLE MEDICAL CLINIC PLLC (NPI 1295406775) is a healthcare organization registered as a general practice in Hallsville, Texas and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Jean Rene Yates-halbert, Partner, as its authorized official.

NPPES Registry Identity

NPI1295406775
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHALLSVILLE MEDICAL CLINIC PLLC
Location Address209 W MAIN ST SUITE DHallsville, TX 75650
Mailing AddressPo Box 873Hallsville, TX 75650-0873 · (903) 668-7462 · Fax (903) 668-7400
Phone(903) 668-7462
Fax(903) 668-7400
Organization SubpartNo
Authorized OfficialJean Rene Yates-halbertPartner · (903) 668-7462
Enumeration DateSeptember 23, 2021
Last NPPES UpdateOctober 12, 20212 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1295406775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
209 W MAIN ST SUITE D, Hallsville, TX 75650
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2234188

Hallsville Medical Clinic · Hallsville, TX
Active · expires Aug 29, 2027
CLIA Number45D2234188
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorMary K. Mcgee
Laboratory Phone(903) 235-4449
Laboratory LocationHallsville Medical Clinic209 W Main St, Suite D, Hallsville, TX 75650
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hallsville Medical Clinic PLLC's NPI number?

The NPI number for Hallsville Medical Clinic PLLC is 1295406775. It was assigned to this organization in the NPPES registry on September 23, 2021.

Where is Hallsville Medical Clinic PLLC located?

Hallsville Medical Clinic PLLC is located at 209 W Main St Suite D, Hallsville, TX 75650. The listed phone number is (903) 668-7462.

What is Hallsville Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Hallsville Medical Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2234188) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hallsville Medical Clinic PLLC was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.