Provider Demographics
NPI:1770876294
Name:HEWLETT, ROBERT E III (DVM)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:HEWLETT
Suffix:III
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 BURT BLVD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:LA
Mailing Address - Zip Code:71006-4900
Mailing Address - Country:US
Mailing Address - Phone:318-965-2371
Mailing Address - Fax:318-965-2384
Practice Address - Street 1:195 BURT BLVD
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:LA
Practice Address - Zip Code:71006-4900
Practice Address - Country:US
Practice Address - Phone:318-965-2371
Practice Address - Fax:318-965-2384
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1229174M00000X
TX4530174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian