CHAD D. EZZELL, M.D., PA
Osteopathic Medicine at Hickory St, Abilene, TX

License number
Texas L4928
Category
Osteopathic Medicine
Type
Sports Medicine
Owner
Name: DR. CHAD D EZZELL M.D.
Title: OWNER/PRESIDENT
Phone: (325) 670-5740
Address
Address
1850 Hickory St STE 105, Abilene, TX 79601
National Provider ID: 1841488582
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHAD D. EZZELL, M.D., PA

1850 Hickory St STE 101, Abilene, TX 79601

Doing business as:
Chad D Ezzell MD
Registration:
Jan 26, 2005
Phone:
(325) 670-5740 (Phone)
State ID:
0800445376
Business type:
Professional Association
President , Treasurer , Director , Member , Secretary , Vice-President:
Chad Ezzell (President , Treasurer , Director , Member , Secretary , Vice-President)
Agent:
Karen Hamilton,1850 Hickory #101, Abilene, TX 79601 (Physical)
TIN:
32035461584
Categories:
Family & General Practice Physicians & Surgeons
Specialties:
Sports Medicine
Payment options:
MasterCard, VISA
Additional:
First Care

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