| Chad D. Ezzell, M.d., Pa | |
|
1850 Hickory St Ste 105 Abilene TX 79601-2334 | |
| (325) 670-5740 | |
| (325) 670-5744 |
| Full Name | Chad D. Ezzell, M.d., Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1850 Hickory St Ste 105, Abilene, Texas |
| Authorized Official Name and Position | Chad D Ezzell (OWNER/PRESIDENT) |
| Authorized Official Contact | 3256705740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chad D. Ezzell, M.d., Pa 1850 Hickory St Ste 105 Abilene TX 79601-2334 Ph: (325) 670-5740 | Chad D. Ezzell, M.d., Pa 1850 Hickory St Ste 105 Abilene TX 79601-2334 Ph: (325) 670-5740 |
| NPI Number | 1841488582 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Medicare PECOS PAC ID | 4587698840 |
|---|---|
| Medicare Enrollment ID | O20050926000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841488582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | L4928 (Texas) | Primary |
| Provider Name | Chad D Ezzell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568458255 PECOS PAC ID: 5395779656 Enrollment ID: I20050926000651 |
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