Jack Hawks in Peoria - Family Medicine

Jack Hawks - NPI 1194835660

Jack Hawks is a Family Medicine in Peoria, Arizona. Jack Hawks practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack Hawks is 1194835660. The last update date is 2007-07-09.

Jack Hawks's current location address is 9191 W. Thunderbird Rd., Peoria, Arizona. You can contact this provider via phone number 6238493811 and fax number 6238495221. The mailing address for Jack Hawks is 9191 W. Thunderbird Rd., Peoria, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Hawks
Address 9191 W. Thunderbird Rd., Peoria, Arizona
Phone Number 6238493811
Fax Number 6238495221
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1194835660
Provider Enumeration Date 2006-08-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 9191 W. Thunderbird Rd.
City Peoria
State Arizona (AZ)
Post Code 853814816
Phone Number 6238493811
Fax Number 6238495221

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4049
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
950982 AZ --

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FAQs about Jack Hawks

What is the Jack Hawks's unique identification number?

The Jack Hawks has been assigned the NPI (National Provider Identifier) Number 1194835660 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Jack Hawks is located?

The Jack Hawks is situated at the following address: 9191 W. Thunderbird Rd., Peoria, AZ, 853814816.

What is the Jack Hawks's specialty and taxonomy code?

The Jack Hawks's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194835660 to Jack Hawks?

The Jack Hawks received its 1194835660 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.

As of what date was the information pertaining to Jack Hawks, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jack Hawks, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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