JEFFERY K HAWKINS, MD, PLLC


Address: 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1279
Phone: 8172940934

JEFFERY K HAWKINS, MD, PLLC (NPI# 1396354171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396354171
Entity Type Organization
Organization Name JEFFERY K HAWKINS, MD, PLLC
Practice Address 209 Saint Louis Ave Ste 100
Fort Worth
TX 76104-1279
Mailing Address 7148 Trail Lake Dr
Fort Worth
TX 76123-1969
Practice Telephone 8172940934
Practice Fax Number 8172941488
Enumeration Date 2020-07-28
Last Update Date 2020-07-28
Authorized Official Name LORI A PAYNE (BILLING MANAGER)
Authorized Official Telephone 8179532968
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
729 W Bedford Euless Rd Ste 206, Hurst, TX 760533941 8172940934 8172941488
131 S Westmeadow Dr Ste 300, Cleburne, TX 760339139 8172940934 8172941488

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538778279 Jeffery K Hawkins, Md, Pllc Family Medicine 729 W Bedford Euless Rd Ste 206, Hurst, TX 76053-3941 2020-07-29
1619586351 Jeffery K Hawkins, Md, Pllc Family Medicine 131 S Westmeadow Dr Ste 300, Cleburne, TX 76033-9139 2020-07-29
1316430580 Jeffery K Hawkins, Md, Pllc Family Medicine 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 2018-06-12

Office Location

Street Address 209 SAINT LOUIS AVE STE 100
City FORT WORTH
State TX
Zip Code 76104-1279

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528603495 Mark Garza, M.d., Pllc Family Medicine 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 2019-11-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528603495 Mark Garza, M.d., Pllc Family Medicine 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 2019-11-14
1831645217 Extra Care Concerns Family Medicine 2529 E Lancaster Ave, Suite A, Fort Worth, TX 76103-2253 2016-08-26
1386613842 Christopher R Mann Family Medicine 5601 Bridge St Ste 550, Fort Worth, TX 76112-9502 2006-03-16
1316430580 Jeffery K Hawkins, Md, Pllc Family Medicine 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 2018-06-12
1154841963 Mark Garza, M.d., Pllc Family Medicine 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 2017-06-22
1639435266 Elizabeth Mirdza Batterton Family Medicine 6301 Harris Pkwy Ste 200, Fort Worth, TX 76132-4265 2012-04-09
1225235179 Robert David Menzies Family Medicine 7148 Trail Lake Dr, Fort Worth, TX 76123-1969 2007-07-02
1730178427 James J Barbee Family Medicine 1500 S Main St, Arlington Orthopedic and Sports Clinic, Fort Worth, TX 76104-4917 2005-10-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922755 David Conrad Ortmeier Family Medicine 4900 Wichita Trl, Flower Mound, TX 75022-5628 2020-11-02
1639704042 Tahnee Rae Beal Family Medicine 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 2020-03-05
1760027643 Mark Garza, M.d., Pllc Family Medicine 131 S Westmeadow Dr, Cleburne, TX 76033-4586 2019-11-14
1265092043 Texas Federal Wellness Center of Mcallen Pllc Family Medicine 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 2019-06-14
1235792524 Celina Family Practice Pllc Family Medicine 701 N Preston Rd Ste 200, Celina, TX 75009-3777 2019-04-22
1164902409 Dna Medical Family Medicine 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 2018-08-16
1861992695 Taylor Henry Family Medicine 739 Tanglewood Drive, Burleson, TX 76028 2018-02-19
1063910842 Running Wild Sea, LLC Family Medicine 8557 Research Blvd Ste 128, Austin, TX 78758-7855 2018-01-26
1134633050 The University of Texas Rio Grande Valley Family Medicine 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 2017-11-30
1932598513 Letourneau University Family Medicine 2100 S Mobberly Ave, Longview, TX 75602-3564 2015-01-20
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Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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