Healthcare Provider Details

I. General information

NPI: 1255757530
Provider Name (Legal Business Name): HAWK EMERGENCY PHYSICIANS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2014
Last Update Date: 08/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 W IH 10
SAN ANTONIO TX
78201-2009
US

IV. Provider business mailing address

13737 NOEL RD SUITE 1600
DALLAS TX
75240-1331
US

V. Phone/Fax

Practice location:
  • Phone: 210-736-6700
  • Fax:
Mailing address:
  • Phone: 954-838-2371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY BYRNE
Title or Position: PRESIDENT
Credential: MD
Phone: 954-838-2371