1497902662 NPI number — THE HAWKEYE GROUP INCORPORATED

Table of content: (NPI 1497902662)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497902662 NPI number — THE HAWKEYE GROUP INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE HAWKEYE GROUP INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FIX PHYSICAL THERAPY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497902662
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/19/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1881 BERING DR APT 77
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77057-3138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-304-3884
Provider Business Mailing Address Fax Number:
866-291-5214

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5320 ELM STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-304-3884
Provider Business Practice Location Address Fax Number:
866-291-5214
Provider Enumeration Date:
08/19/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NAIFEH
Authorized Official First Name:
NATALIE
Authorized Official Middle Name:
FRANCES
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-304-3884

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)