Provider Demographics
NPI:1033394630
Name:J HAWKINS CHIROPRACTIC P A
Entity Type:Organization
Organization Name:J HAWKINS CHIROPRACTIC P A
Other - Org Name:HAWKINS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-727-2225
Mailing Address - Street 1:307 S JUPITER RD
Mailing Address - Street 2:STE 100
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3051
Mailing Address - Country:US
Mailing Address - Phone:972-727-2225
Mailing Address - Fax:
Practice Address - Street 1:307 S JUPITER RD
Practice Address - Street 2:STE 100
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-3051
Practice Address - Country:US
Practice Address - Phone:972-727-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX603979Medicare PIN