Provider Demographics
NPI:1003056607
Name:HAWKINS PSYCHIATRY PC
Entity Type:Organization
Organization Name:HAWKINS PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAINE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:682-521-5700
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76004-0396
Mailing Address - Country:US
Mailing Address - Phone:817-460-7080
Mailing Address - Fax:817-460-1220
Practice Address - Street 1:920 W MITCHELL ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2560
Practice Address - Country:US
Practice Address - Phone:817-460-7080
Practice Address - Fax:817-460-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL33292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611272OtherMEDICARE PTAN INDIVIDUAL
TX8U1296OtherBCBS
TX10012910OtherAMERIGROUP
TX167802104Medicaid
TX8G2498Medicare PIN
TX167802104Medicaid