Provider Demographics
NPI:1790989283
Name:HAWKINS, ALRIC (MD)
Entity Type:Individual
Prefix:
First Name:ALRIC
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6560 FANNIN ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-3800
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST
Practice Address - Street 2:SUITE 900
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2761
Practice Address - Country:US
Practice Address - Phone:713-441-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXP31692084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DG736OtherBLUE CROSS BLUE SHIELD
TXP01162579OtherRR MEDICARE
TX309539002Medicaid
TX8EB168OtherBLUE CROSS BLUE SHIELD
TX1790989283OtherBLUE CROSS BLUE SHIELD
TX309539003Medicaid
TX309539001Medicaid
TXP01363013OtherRR MEDICARE
TX8GD819OtherBCBS
TXP01363013OtherRR MEDICARE
TX8DG736OtherBLUE CROSS BLUE SHIELD
TX328468ZSWDMedicare PIN