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Individual

DR. BRADLEY WAYNE HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2011 HIGHWAY 35 N, ROCKPORT, TX 78382-3302
(361) 729-2225
(361) 729-2483
Mailing address
2011 HIGHWAY 35 N, ROCKPORT, TX 78382-3302
(361) 729-2225
(361) 729-2483

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6946
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0096AH
TX
01
42-1612141
TAX ID #
TX
01
80231B
BCBS
TX
Enumeration date
09/13/2006
Last updated
07/09/2007
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