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NPI Code Detail

MEDICARE: PHILIP P HAWNER M.D.

MEDICARE:   PHILIP P HAWNER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery PhysicianK3229TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730186172
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP P HAWNER M.D.
Provider Business Mailing Address
First Line : 707 HOLLYBROOK DR
Second Line : SUITE 400
City : LONGVIEW
State : TX
Zip : 75605-2410
Country : US
Telephone Number : 903-230-3223
Fax Number : 903-753-7420
Provider Business Practice Location Address
First Line : 707 HOLLYBROOK DR
Second Line : SUITE 400
City : LONGVIEW
State : TX
Zip : 75605-2410
Country : US
Telephone Number : 903-230-3223
Fax Number : 903-753-7420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 05/10/2016

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Directions to “ PHILIP P HAWNER M.D.” Practice Location

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