Jeffery K Hawkins, Md, Pllc | |
209 Saint Louis Ave Ste 100 Fort Worth TX 76104-1279 | |
(817) 294-0934 | |
(817) 294-1488 |
Full Name | Jeffery K Hawkins, Md, Pllc |
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Speciality | Family Medicine |
Location | 209 Saint Louis Ave Ste 100, Fort Worth, Texas |
Authorized Official Name and Position | Lori A Payne (BILLING MANAGER) |
Authorized Official Contact | 8179532968 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jeffery K Hawkins, Md, Pllc 7148 Trail Lake Dr Fort Worth TX 76123-1969 Ph: () - | Jeffery K Hawkins, Md, Pllc 209 Saint Louis Ave Ste 100 Fort Worth TX 76104-1279 Ph: (817) 294-0934 |
NPI Number | 1396354171 |
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Provider Enumeration Date | 07/28/2020 |
Last Update Date | 07/28/2020 |
Medicare PECOS PAC ID | 5799036950 |
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Medicare Enrollment ID | O20210125001268 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396354171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
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