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NPI Code Detail

MEDICARE: IRIS LYNN HAZE LCSW

MEDICARE: IRIS LYNN HAZE LCSW
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
11041C0700XClinical Social Worker21703TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
487253QOTHERTXBLUE CROSS BLUE SHIELD
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730114018
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRIS LYNN HAZE LCSW
Provider Business Mailing Address
First Line : 6124 HIGHWAY 6 N
Second Line :
City : HOUSTON
State : TX
Zip : 77084-1304
Country : US
Telephone Number : 281-345-9429
Fax Number :
Provider Business Practice Location Address
First Line : 7011 SW FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2007
Country : US
Telephone Number : 713-222-4648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/07/2019

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Directions to “ IRIS LYNN HAZE LCSW” Practice Location

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