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NPI Code Detail

MEDICARE: RICHARD W HAZEN M.D.

MEDICARE: RICHARD W HAZEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianH6281TX

General Provider Information

NPI Number : 1285627539
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD W HAZEN M.D.
Provider Business Mailing Address
First Line : 10864 TEXAS HEALTH TRL
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4897
Country : US
Telephone Number : 817-436-6880
Fax Number : 682-212-9301
Provider Business Practice Location Address
First Line : 10864 TEXAS HEALTH TRL
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-4897
Country : US
Telephone Number : 817-436-6880
Fax Number : 682-212-9301
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 08/15/2019

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