Individual
HAZEL C CEBRUN-ARCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082
(281) 799-8600
(281) 596-5947
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L3257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154929701
—
TX
05
—
154929702
—
TX
01
—
1598740326
TRICARE SOUTH
TX
01
—
8F9294
BCBSTX PROV NO
TX
Enumeration date
12/14/2005
Last updated
07/26/2018
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