Provider Demographics
NPI:1518213263
Name:HASLAM, SEAN GREGORY (MD, FRCSC, FAAOS)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:GREGORY
Last Name:HASLAM
Suffix:
Gender:M
Credentials:MD, FRCSC, FAAOS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 COIT ROAD
Mailing Address - Street 2:STE 203
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035
Mailing Address - Country:US
Mailing Address - Phone:469-800-7070
Mailing Address - Fax:469-800-7080
Practice Address - Street 1:4401 COIT ROAD
Practice Address - Street 2:STE 203
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034
Practice Address - Country:US
Practice Address - Phone:469-287-7179
Practice Address - Fax:972-596-9382
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0903207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery