Doctor Name: | THOMAS MELVIN HAWK |
NPI Number: | 1306932207 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | R5759 |
Business Practice Address: | 3824 Watson Rd Saint Louis, MO - 631091237 |
Business Phone Number: | 3143524400 |
Business Fax Number: | 3143528496 |
Mailing Address: | 3824 Watson Rd, SAINT LOUIS |
State: | MO |
Postal Code: | 631091237 |
Phone Number: | 3143524400 |
Fax Number: | 3143528496 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | R5759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |