Provider Demographics
NPI:1043585185
Name:HARDAWAY, JOHN CRAWFORD (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CRAWFORD
Last Name:HARDAWAY
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:920 MEDICAL PLAZA DR STE 100
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3256
Practice Address - Country:US
Practice Address - Phone:832-616-5180
Practice Address - Fax:281-885-4795
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA83901208600000X, 2086X0206X
MI4301103891208600000X
RILP041522086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery