Individual
PHILIP P HAWNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
707 HOLLYBROOK DR, SUITE 400, LONGVIEW, TX 75605-2410
(903) 230-3223
(903) 753-7420
Mailing address
707 HOLLYBROOK DR, SUITE 400, LONGVIEW, TX 75605-2410
(903) 230-3223
(903) 753-7420
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K3229
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045323501
—
TX
Enumeration date
06/30/2005
Last updated
05/10/2016
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