Individual
BROOKE AMBER HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 N BRENTWOOD STE 400, LUFKIN, TX 75904-7147
(936) 465-9266
Mailing address
101 ELKHORN DR, LUFKIN, TX 75904-0002
(210) 386-0160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36594
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
08/18/2020
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