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NPI 1497028831

NPI 1497028831 : CHRISTOPHER W HAWKS PA-C : BELLAIRE, TX

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General NPI Number Information
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    NPI Number           |    1497028831
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER W HAWKS PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/15/2012
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    Last Update Date     |    07/29/2022
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Provider Practice Location Address
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    Address Line         |    5420 WEST LOOP S STE 2250 
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    City                 |    BELLAIRE
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    State                |    TX
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    Zip                  |    77401-2118
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    Country              |    US
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    Telephone            |    713-486-5555
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    Fax                  |    713-486-7533
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Provider Business Mailing Address
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    Address Line         |    6400 FANNIN ST STE 1700 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77030-1526
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    Country              |    US
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    Telephone            |    713-486-5555
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    Fax                  |    713-486-7533
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    PA07720
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    License Number State |    TX
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