Individual
DR. ANDY MARK HAWARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1238 N PACIFIC ST, MINEOLA, TX 75773-1002
(903) 569-5432
(903) 569-2994
Mailing address
PO BOX 547, MINEOLA, TX 75773-0547
(903) 569-5432
(903) 569-2994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04091TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89G671
BLUE CROSS BLUE SHIELD
TX
01
—
CG7745
RAILROAD MEDICARE
TX
Enumeration date
10/27/2006
Last updated
08/10/2022
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