Healthcare Provider Details

I. General information

NPI: 1699911982
Provider Name (Legal Business Name): MS. NEFRINTINA RENA HAWKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2008
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7008 SORCEY RD
DALLAS TX
75249-1340
US

IV. Provider business mailing address

7008 SORCEY RD
DALLAS TX
75249-1340
US

V. Phone/Fax

Practice location:
  • Phone: 972-283-5898
  • Fax: 972-283-5898
Mailing address:
  • Phone: 682-777-5943
  • Fax: 972-709-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: