Hazel Sports Medicine And Orthopaedics Pa

NPI 1013248566 - Orthopaedic Surgery - 207XX0005X

NPI Details
NPI 1013248566
Enumeration Date 01/22/2010
Last Updated 05/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBERT MARK ROBERT
Position PHYSICIAN/ OWNER
Phone (972) 463-4313
Fax (972) 463-4245
Practice Location
7501 LAKEVIEW PKWY
SUITE 245
ROWLETT TX, 75088-9322, US
Phone (972) 463-4313
Fax (972) 463-4245
Business Location
PO BOX 1766
ROCKWALL TX, 75087-1766, US
Phone (972) 463-4313
Fax (972) 463-4245
Toxanomy
Taxonomy Code 207XX0005X
License State Texas
License Number J2448
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According to our database, Hazel Sports Medicine And Orthopaedics Pa NPI is 1013248566, taxonomy code is 207XX0005X and license number is J2448, license state is located at Texas. Hazel Sports Medicine And Orthopaedics Pa physically located at 7501 Lakeview Pkwy, Rowlett TX, 75088-9322. NPI Number 1033115704 has the healthcare provider type.

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1013248566 NPI number is provided on an as is basis without warranty of any kind. 1013248566 is maintained by the National Plan & Provider Enumeration System. The contents of Hazel Sports Medicine And Orthopaedics Pa are for informational purposes only.