Individual
MAURICE HAWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 GREENWOOD RD, SHREVEPORT, LA 71103-3908
(972) 664-6963
(770) 237-4731
Mailing address
9441 LBJ FWY STE 400, DALLAS, TX 75243-4500
(972) 665-6963
(770) 237-4731
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
018942
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1393495
—
LA
Enumeration date
12/15/2006
Last updated
04/10/2008
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