Individual
IRIS LYNN HAZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7011 SW FWY, HOUSTON, TX 77074-2007
(713) 222-4648
Mailing address
6124 HIGHWAY 6 N, HOUSTON, TX 77084-1304
(281) 345-9429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145042103
—
TX
05
—
145042104
—
TX
05
—
145042105
—
TX
05
—
145042106
—
TX
05
—
145042111
—
TX
01
—
87253Q
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/12/2006
Last updated
02/07/2019
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