Provider Demographics
NPI:1144726878
Name:CAMBRON, HAWK JOSEPH EDWARD CHRIS (MD)
Entity type:Individual
Prefix:
First Name:HAWK
Middle Name:JOSEPH EDWARD CHRIS
Last Name:CAMBRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 HILL ST
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-5845
Mailing Address - Country:US
Mailing Address - Phone:337-457-8040
Mailing Address - Fax:
Practice Address - Street 1:151 HILL ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-5845
Practice Address - Country:US
Practice Address - Phone:337-457-8040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA326955207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine