Provider Demographics
NPI:1871637967
Name:MICHON HAWKINS, D.C. INC.
Entity Type:Organization
Organization Name:MICHON HAWKINS, D.C. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHON
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-386-9332
Mailing Address - Street 1:6350 LBJ FREEWAY, STE 166
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6403
Mailing Address - Country:US
Mailing Address - Phone:972-386-9332
Mailing Address - Fax:972-386-0030
Practice Address - Street 1:6350 LBJ FREEWAY, STE 166
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6403
Practice Address - Country:US
Practice Address - Phone:972-386-9332
Practice Address - Fax:972-386-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6301111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0042HZOtherBCBS GROUP
TX8G3800OtherBCBS INDIVIDUAL
TX0042HZOtherBCBS GROUP
TXU50745Medicare UPIN
TX8712B8Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE
TX8G3800OtherBCBS INDIVIDUAL