MEDICARE: MS. NEFRINTINA RENA HAWKINS

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	343900000X	Non-emergency Medical Transport (VAN)
2	302R00000X	Health Maintenance Organization

General Provider Information

NPI Number	:	1699911982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NEFRINTINA RENA HAWKINS

Provider Business Mailing Address
First Line	:	7008 SORCEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1340
Country	:	US
Telephone Number	:	682-777-5943
Fax Number	:	972-709-7066

Provider Business Practice Location Address
First Line	:	7008 SORCEY RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75249-1340
Country	:	US
Telephone Number	:	972-283-5898
Fax Number	:	972-283-5898

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

Provider Enumeration Date	:	12/17/2008
Last Update Date	:	02/28/2022

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