Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 19667 | MS |
Y | 204F00000X | Transplant Surgeon | 28113 | OK |
N | 208200000X | Surgeon | 26012 | AL |
N | 208600000X | Surgeon | 26012 | AL |
NPI | 1225047145 |
---|---|
Provider Name | Dr. Alan Marshall Hawxby |
First Address | Denver, CO 80237-3486 |
Second Address | Oklahoma City, OK 73104-5099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 10/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009955185 | (05) | AL |
009955315 | (05) | AL |
200314170A | (05) | OK |
H59040 | (02) | AL |