Provider Demographics
NPI:1558382218
Name:EDUARDO HAZARIAN, MD & ALVARO HERNANDEZ, MD
Entity Type:Organization
Organization Name:EDUARDO HAZARIAN, MD & ALVARO HERNANDEZ, MD
Other - Org Name:ORTHOPAEDIC SURGEONS ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING DEPT
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-313-6300
Mailing Address - Street 1:4646 N MESA
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912
Mailing Address - Country:US
Mailing Address - Phone:915-313-6300
Mailing Address - Fax:915-532-3069
Practice Address - Street 1:4646 N MESA
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912
Practice Address - Country:US
Practice Address - Phone:915-313-6300
Practice Address - Fax:915-532-3069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081583902Medicaid
TX081583902Medicaid
TX081583902Medicaid