Organization
JEFFERY K HAWKINS, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A PAYNE (BILLING MANAGER)
(817) 953-2968
Entity
Organization
Contact information
Practice address
131 S WESTMEADOW DR STE 300, CLEBURNE, TX 76033-9139
(817) 294-0934
(817) 294-1488
Mailing address
7148 TRAIL LAKE DR, FORT WORTH, TX 76123-1969
(817) 953-2968
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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