Provider Demographics
NPI:1881766657
Name:HAWBECKER, MARIA DEL CARMEN (RT R)
Entity type:Individual
Prefix:MISS
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:HAWBECKER
Suffix:
Gender:F
Credentials:RT R
Other - Prefix:MRS
Other - First Name:MARIA
Other - Middle Name:DEL CARMEN
Other - Last Name:TERAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RT R
Mailing Address - Street 1:155 UPTOWN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7568
Mailing Address - Country:US
Mailing Address - Phone:956-546-5200
Mailing Address - Fax:956-546-5201
Practice Address - Street 1:155 UPTOWN AVE STE B
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-7568
Practice Address - Country:US
Practice Address - Phone:956-546-5200
Practice Address - Fax:956-546-5201
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1842942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology