Organization
GOLDEN HAWK MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY JETAWO (ADMINISTRATOR)
(214) 641-8494
Entity
Organization
Contact information
Practice address
4402 BROADWAY BLVD, 2, GARLAND, TX 75043-8263
(214) 641-8494
Mailing address
4402 BROADWAY BLVD, 2, GARLAND, TX 75043-8263
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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