Individual
ALLIE ROSE HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2700 KENNEDY DR, MELISSA, TX 75454-2500
(951) 790-6184
Mailing address
2700 KENNEDY DR, MELISSA, TX 75454-2500
(951) 790-6184
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
AT7428
TX
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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