Individual
DR. SANDRA JO HAZELIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3101 SOUTH 27TH, ABILENE, TX 79605
(325) 695-1289
(325) 695-1296
Mailing address
3101 SOUTH 27TH, ABILENE, TX 79605
(325) 695-1289
(325) 695-1296
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
G8171
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G8171
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
G8171
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120549406
—
TX
Enumeration date
04/07/2006
Last updated
12/10/2015
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