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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950982 | AZ | -- |
Post Comment/ Review Below
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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