R Mark Hazel PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

R MARK HAZEL PA

Practice address

6701 Heritage Pkwy Ste 170
Rockwall, TX 75087-8798

Phone

(972) 463-4313

Fax

(972) 463-4245

NPI assigned

Mar 31, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. R Mark Hazel, MD

Title

Owner

Phone

(972) 463-4313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1093987042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 HERITAGE PKWY STE 170",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878798",
            "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": "6701 HERITAGE PKWY STE 170",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878798",
            "telephone_number": "972-463-4313",
            "fax_number": "972-463-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R MARK HAZEL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-463-4313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0025NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.