NPI age
11 years
Enumerated 2014-09-02
● Active Type 2 · Organization
Hazelwood Endoscopy Center, Llc
Hazelwood Endoscopy Center, Llc is 1 of 1647 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moran
Officer / Authorized Official
Last NPPES update
2014-09-02
Source: monthly bulk 2026-05
How this organization compares
Across 1647 active clinic/center providers in Texas.
NPI age
11 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-09Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
15305 Dallas Pkwy, #1600
Addison, TX 750014637
Mailing address
100 Village Sq
Hazelwood, MO 630421820
Authorized official
Jenetha D Moran
Officer / Authorized Official
📞 9727633893
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jessica Smith, LPC Counselor NPI 1346121787
- Julia Wesley, MS, LMFT Marriage & Family Therapist NPI 1336580844
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Endoscopy & Colonscopy Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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