Individual
DR. DOROVENIA NICOLE HAWKINS-KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1311 E GENERAL CAVAZOS BLVD, STE 305, KINGSVILLE, TX 78363-7150
(361) 592-2223
Mailing address
1311 E GENERAL CAVAZOS BLVD, STE 305, KINGSVILLE, TX 78363-7150
(361) 592-2223
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M4810
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107604401
—
TX
05
—
137248402
—
TX
05
—
137248411
—
TX
05
—
137248412
—
TX
05
—
184438301
—
TX
05
—
184438302
—
TX
01
—
8H9136
BCBS
TX
01
—
M4810
LICENSE
TX
Enumeration date
10/10/2006
Last updated
02/09/2022
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