Basic Information
Provider Information
NPI: 1639450836
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAWKINS
FirstName: JULIE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5655 W SPRING CREEK PKWY
Address2: SUITE 200
City: PLANO
State: TX
PostalCode: 75024
CountryCode: US
TelephoneNumber: 9725999600
FaxNumber: 9725999696
Practice Location
Address1: 5655 W SPRING CREEK PKWY
Address2: SUITE 200
City: PLANO
State: TX
PostalCode: 750244236
CountryCode: US
TelephoneNumber: 9725999600
FaxNumber: 9725999696
Other Information
ProviderEnumerationDate: 08/31/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X741993TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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