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1033647078

NPI Code Detail

MEDICARE: DR. ADRIENNE NICOLE HAWKINS BAKSH MD

MEDICARE: DR. ADRIENNE NICOLE HAWKINS BAKSH MD

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	BP10069768	TX
2	208M00000X	Hospitalist Physician	T1645	TX
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207R00000X	Internal Medicine Physician	T1645	TX

General Provider Information

NPI Number	:	1033647078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIENNE NICOLE HAWKINS BAKSH MD

Provider Business Mailing Address
First Line	:	920 FROSTWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2314
Country	:	US
Telephone Number	:	713-338-5519
Fax Number	:	713-704-3086

Provider Business Practice Location Address
First Line	:	11800 ASTORIA BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-6041
Country	:	US
Telephone Number	:	281-929-6184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2017
Last Update Date	:	04/16/2026

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Directions to “ DR. ADRIENNE NICOLE HAWKINS BAKSH MD” Practice Location

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