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NPI Code Detail

MEDICARE: BONNIE HAWKINS-JORDAN

MEDICARE: BONNIE HAWKINS-JORDAN
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
1235Z00000XSpeech-Language Pathologist13329TX

General Provider Information

NPI Number : 1588798193
Entity Type Code : Individual
Provider Name (Legal Business Name) : BONNIE HAWKINS-JORDAN
Provider Business Mailing Address
First Line : 607 S NOLAN RIVER RD
Second Line :
City : CLEBURNE
State : TX
Zip : 76033-4529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 508 S ADAMS ST
Second Line : SUITE 102
City : FORT WORTH
State : TX
Zip : 76104-2147
Country : US
Telephone Number : 817-878-2834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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Directions to “ BONNIE HAWKINS-JORDAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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