Provider Demographics
NPI:1194767897
Name:HAWS, KARL (DO)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:
Last Name:HAWS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1523
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72702-1523
Mailing Address - Country:US
Mailing Address - Phone:479-571-6038
Mailing Address - Fax:479-442-6523
Practice Address - Street 1:4401 S THOMPSON ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-7462
Practice Address - Country:US
Practice Address - Phone:479-756-1300
Practice Address - Fax:479-751-7013
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARN-8138207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR123558003Medicaid
AR123558003Medicaid
AR5J1117938Medicare ID - Type Unspecified