Individual
DR. TREVOR HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
649 HARKLE RD STE E, SANTA FE, NM 87505-4765
(505) 989-8200
(505) 989-8131
Mailing address
649 HARKLE RD STE E, SANTA FE, NM 87505-4765
(505) 989-8200
(505) 989-8131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
83-212
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201004174
PHP
NM
05
—
27110
—
NM
01
—
NM000390
BCBS
NM
01
—
PROVP14050
MOLINA SALUD
NM
Enumeration date
07/29/2006
Last updated
04/20/2008
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