Provider Demographics
NPI:1831228972
Name:W. REX HAWKINS, M D P A
Entity type:Organization
Organization Name:W. REX HAWKINS, M D P A
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:W
Authorized Official - Middle Name:REX
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-528-1122
Mailing Address - Street 1:1200 BINZ ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6942
Mailing Address - Country:US
Mailing Address - Phone:713-528-1122
Mailing Address - Fax:713-528-7930
Practice Address - Street 1:1200 BINZ ST STE 400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6942
Practice Address - Country:US
Practice Address - Phone:713-528-1122
Practice Address - Fax:713-528-7930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2684174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085231101Medicaid
TX1952387839OtherNPI
TX085231101Medicaid
TX00T37RMedicare PIN