Provider Demographics
NPI:1104823442
Name:HAWK, THOMAS PARKER (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PARKER
Last Name:HAWK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6131 LUTHER LN
Mailing Address - Street 2:STE 216
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6223
Mailing Address - Country:US
Mailing Address - Phone:214-987-2020
Mailing Address - Fax:214-739-3725
Practice Address - Street 1:6131 LUTHER LN
Practice Address - Street 2:STE 216
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6223
Practice Address - Country:US
Practice Address - Phone:214-987-2020
Practice Address - Fax:214-739-3725
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE4394207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2316710OtherBLUE LINK
TXDW54OtherBCBS
TXDW54OtherBCBS
C16710Medicare UPIN