Organization
STEPHEN OZANNE M.D., P.A.
Active
Other names
Cedar Hill Spine
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN OZANNE M.D. (OWNER)
(972) 299-6966
Entity
Organization
Contact information
Practice address
3450 W WHEATLAND RD, SUITE 330, DALLAS, TX 75237-3470
(972) 299-6966
(972) 299-9100
Mailing address
PO BOX 543066, GRAND PRAIRIE, TX 75054-3066
(972) 299-6966
(972) 299-9100
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G8637
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026EN
BCBS
—
05
—
122086504
—
TX
01
—
225336
BLUE LINK
—
01
—
4201257
AETNA
—
01
—
844754
HMO BLUE
—
Enumeration date
10/31/2012
Last updated
11/29/2016
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