Individual ProviderThomas Ryan HallRegistered NurseNursing Service ProvidersPractice Address4212 N 16th St, Phoenix, AZ 85016-5319(602) 263-1200PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Ryan Hall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1003138942Provider TypeIndividualFull NameHall, Thomas RyanCredentialRNGenderMaleSole ProprietorNoEnumeration Date2/19/2010Last Updated2/19/2010Contact InformationPractice LocationPractice Address4212 N 16th St, Phoenix, AZ 85016-5319Phone(602) 263-1200Fax(602) 263-1631Mailing LocationMailing AddressPO Box 31000-0698, Pasadena, CA 91110-0698Phone(602) 263-1200Fax(602) 263-1631Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense685677Texas