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Individual

DR. KRISTEN MICHELLE HAWTHORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2610 S IH 35, AUSTIN, TX 78704-5703
(512) 443-9715
(512) 443-9845
Mailing address
2610 S IH 35, AUSTIN, TX 78704-5703
(512) 443-9715
(512) 443-9845

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
243348
MA
207W00000X
Ophthalmology Physician
Primary
P0832
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
285890401
TX
Enumeration date
06/07/2007
Last updated
03/07/2023
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