Individual
CONRAD GREGORY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CRENDENTIALS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Mailing address
3851 ROGER BROOKE DR, MCHE-QD (CRENDENTIALS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
(210) 916-5102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1108934
TX
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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