Provider Demographics
NPI:1467288480
Name:HAWKINS, ALVIN MARK
Entity type:Individual
Prefix:
First Name:ALVIN
Middle Name:MARK
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-7212
Mailing Address - Country:US
Mailing Address - Phone:832-330-0975
Mailing Address - Fax:
Practice Address - Street 1:524 FAIRDALE ST
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4518
Practice Address - Country:US
Practice Address - Phone:281-684-1578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care