Organization
HAZEL SPORTS MEDICINE AND ORTHOPAEDICS PA
Active
Organization
HAZEL SPORTS MEDICINE AND ORTHOPAEDICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MARK HAZEL M.D. (PHYSICIAN/ OWNER)
(972) 463-4313
Entity
Organization
Contact information
Practice address
7501 LAKEVIEW PKWY, SUITE 245, ROWLETT, TX 75088-9322
(972) 463-4313
(972) 463-4245
Mailing address
PO BOX 1766, ROCKWALL, TX 75087-1766
(972) 463-4313
(972) 463-4245
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
J2448
TX
Other
Enumeration date
01/22/2010
Last updated
05/12/2010
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