Organization
CHAD D. EZZELL, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD D EZZELL M.D. (OWNER/PRESIDENT)
(325) 670-5740
Entity
Organization
Contact information
Practice address
1850 HICKORY ST STE 105, ABILENE, TX 79601-2334
(325) 670-5740
(325) 670-5744
Mailing address
1850 HICKORY ST STE 105, ABILENE, TX 79601-2334
(325) 670-5740
(325) 670-5744
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
L4928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155713402
—
TX
Enumeration date
10/09/2007
Last updated
02/05/2026
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