Provider Demographics
NPI:1174254601
Name:HOSKINS, OLIVIA PARKER (DMD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:PARKER
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15450 FARM TO MARKET RD 1325
Mailing Address - Street 2:2716
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728
Mailing Address - Country:US
Mailing Address - Phone:502-432-9076
Mailing Address - Fax:
Practice Address - Street 1:1553 FARM TO MARKET 685 NORTH
Practice Address - Street 2:400
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660
Practice Address - Country:US
Practice Address - Phone:512-989-3330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX384611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice