MEDICARE: HAWKINS PSYCHIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	L3329	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	611272	OTHER	TX	MEDICARE PTAN INDIVIDUAL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8U1296	OTHER	TX	BCBS
3	10012910	OTHER	TX	AMERIGROUP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003056607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAWKINS PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	PO BOX 396
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76004-0396
Country	:	US
Telephone Number	:	817-460-7080
Fax Number	:	817-460-1220

Provider Business Practice Location Address
First Line	:	920 W MITCHELL ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76013-2560
Country	:	US
Telephone Number	:	817-460-7080
Fax Number	:	817-460-1220

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. GERMAINE B. HAWKINS
Credential	:	D.O.
Telephone Number	:	682-521-5700

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	04/17/2023

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Directions to “HAWKINS PSYCHIATRY PC ” Practice Location

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