Individual
EDITH A. HAWKINS-FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 E OVERTON RD, BLUITT-FLOWERS HEALTH CENTER, DALLAS, TX 75216-5946
(214) 266-4200
(214) 266-4218
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060361502
—
TX
05
—
060361503
—
TX
01
—
82N829
BLUE CROSS BLUE SHIELD
TX
01
—
P00049543
RAILROAD MEDICARE
TX
Enumeration date
11/29/2005
Last updated
12/04/2012
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