Healthcare Provider Details

I. General information

NPI: 1023289428
Provider Name (Legal Business Name): JAMIE MICHELLE HAWKINS M.S., CCC/A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2008
Last Update Date: 01/29/2021
Certification Date: 01/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 PINECROFT DR SUITE 150
SHENANDOAH TX
77380-3179
US

IV. Provider business mailing address

17450 ST LUKES WAY STE 150
THE WOODLANDS TX
77384-2003
US

V. Phone/Fax

Practice location:
  • Phone: 281-362-1368
  • Fax: 281-364-8211
Mailing address:
  • Phone: 936-273-4437
  • Fax: 936-273-3279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number51569
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: