Individual
DR. HOLLY H HAZLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9303 PINECROFT DR, SUITE 150, THE WOODLANDS, TX 77380-3180
(281) 363-5050
(281) 363-5020
Mailing address
9303 PINECROFT DR, SUITE 150, THE WOODLANDS, TX 77380-3180
(281) 363-5050
(281) 363-5020
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
J8491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600638
AETNA
—
01
—
8J5520
BLUE CROSS BLUE SHIELD
TX
01
—
P00098339
RAILROAD MEDICARE
—
Enumeration date
07/04/2006
Last updated
09/26/2013
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