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Derek Hazelwood
Family Nurse Practitioner in Fort Worth, Texas
NPI 1841738077

Derek Hazelwood is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Derek Hazelwood practices in Fort Worth, TX. The NPI Number for Derek Hazelwood is 1841738077 and holds a License No. AP133244 (Texas).

The current practice location address for Derek Hazelwood is 601 Penn St, Fort Worth, TX and can be reached out via phone at 817-632-5400.

Location: 601 Penn St, Fort Worth, TX, 76102-2619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841738077
Provider Name
Derek Hazelwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
601 Penn St, Fort Worth, TX, 76102-2619
Phone Number
817-632-5400
Fax Number
Provider Enumeration Date
02/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 Penn St
City
Fort Worth
State
Texas
Zip
76102-2619
Phone Number
817-632-5400
Fax Number
person
Provider Business Mailing Address Details
Address
601 Penn St
City
Fort Worth
State
Texas
Zip
76102-2619
Phone Number
817-632-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP133244 (Texas)
Definition
Definition to come...
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