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Specialty details in registry · Azle, TX

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At a glance

220 S Natural Springs Ln, Azle, TX 76020-1379

NPPES record updated Mar 5, 2026. Public records can lag behind changes at a practice.

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Practice location

220 S Natural Springs Ln
Azle, TX 76020-1379

Professional details: NPI, taxonomy & registry record

NPI1124974977

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM1300X
Enumeration date: Mar 5, 2026
Record updated: Mar 5, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

Specialty details in registry

261QR0400X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

220 S Natural Springs Ln
Azle, TX 76020-1379

Phone: (432) 557-8627

Mailing address

220 S NATURAL SPRINGS LN

AZLE, TX 760201379

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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