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NPI Code Detail

MEDICARE: EDITH A. HAWKINS-FROST PA-C

MEDICARE:   EDITH A. HAWKINS-FROST  PA-C
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
1363A00000XPhysician AssistantPA00161TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00049543OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
182N829OTHERTXBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841273307
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDITH A. HAWKINS-FROST PA-C
Provider Business Mailing Address
First Line : PO BOX 660599
Second Line :
City : DALLAS
State : TX
Zip : 75266-0599
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 E OVERTON RD
Second Line : BLUITT-FLOWERS HEALTH CENTER
City : DALLAS
State : TX
Zip : 75216-5946
Country : US
Telephone Number : 214-266-4200
Fax Number : 214-266-4218
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 12/04/2012

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Directions to “ EDITH A. HAWKINS-FROST PA-C” Practice Location

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