Individual
ENRIQUE HAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1033 LA POSADA DR, SUITE 308, AUSTIN, TX 78752-3842
(512) 284-7202
(512) 284-7203
Mailing address
1033 LA POSADA DR STE 230, AUSTIN, TX 78752-3842
(512) 284-7192
(512) 284-7203
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X977
GROUP PTAN
TX
01
—
109849
OT LICENSE
—
05
—
212434901
—
TX
Enumeration date
09/06/2006
Last updated
02/15/2022
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