Provider Demographics
NPI:1437208667
Name:HAWKINS, ONA KIRVEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:ONA
Middle Name:KIRVEN
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800A E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4612
Mailing Address - Country:US
Mailing Address - Phone:432-362-3962
Mailing Address - Fax:
Practice Address - Street 1:800A E 7TH ST
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4612
Practice Address - Country:US
Practice Address - Phone:432-582-0337
Practice Address - Fax:432-332-0229
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24660183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist