NPIMap

Organization Active NPI

Hazel Sports Medicine and Orthopaedics PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Rowlett, TX
National Provider Identifier
1013248566
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
J2448 Issued in TX
Legal business name
HAZEL SPORTS MEDICINE AND ORTHOPAEDICS PA
Practice address
7501 Lakeview Pkwy
Suite 245
Rowlett, TX 75088-9322
Phone
(972) 463-4313
Fax
(972) 463-4245
NPI assigned
Jan 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Mark Hazel, M.D.
Title
Physician/ Owner
Phone
(972) 463-4313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X J2448 TX Primary

Addresses

Primary practice location

7501 Lakeview Pkwy
Suite 245
Rowlett, TX 75088-9322

Mailing address

PO Box 1766
Rockwall, TX 75087-1766
Phone (972) 463-4313

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1013248566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1766",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750871766",
            "telephone_number": "972-463-4313",
            "fax_number": "972-463-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 LAKEVIEW PKWY",
            "address_2": "SUITE 245",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889322",
            "telephone_number": "972-463-4313",
            "fax_number": "972-463-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL SPORTS MEDICINE AND ORTHOPAEDICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN/ OWNER",
        "authorized_official_telephone_number": "972-463-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "J2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.