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Organization

FAGADAU & HAWK, M.D LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KATHLEEN A DAVIS (OFFICE ADMINISTRATOR)
(214) 987-2020
Entity
Organization

Contact information

Practice address
6131 LUTHER LN STE 216, DALLAS, TX 75225
(214) 987-2020
(214) 739-3725
Mailing address
6131 LUTHER LN STE 216, DALLAS, TX 75225
(214) 987-2020
(214) 739-3725

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1104887-02
TX
05
1145005-03
TX
Enumeration date
03/16/2007
Last updated
07/14/2008
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