Organization
JEFFERY K HAWKINS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY K HAWKINS MD (PROVIDER/OWNER)
(817) 294-0934
Entity
Organization
Contact information
Practice address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
(817) 294-1488
Mailing address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 294-0934
(817) 294-1488
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
Q3197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q3197
SPORTS MEDICINE/PAIN MANAGEMENT
TX
Enumeration date
06/12/2018
Last updated
05/16/2019
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