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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