Hazelwood Endoscopy Center, LLC

NPI #1962802546 in Addison, Texas

Provider Information

NPI Number
1962802546
Entity Type
Organization
Organization Name
Hazelwood Endoscopy Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 2, 2014
Last Updated
Sep 2, 2014

Practice Location

Address
15305 DALLAS PKWY
Address 2
#1600
State
Texas
ZIP Code
75001-4637
Phone
(972) 763-3893

Authorized Official

Name
JENETHA D MORAN
Title
OFFICER / AUTHORIZED OFFICIAL
Phone
(972) 763-3893

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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