Organization Active NPI

Hawk's Nest Geriatrics & Wound Care, LLC

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1073860342
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HAWK'S NEST GERIATRICS & WOUND CARE, LLC
Practice address
4000 Fulton St
Houston, TX 77009-4766
Phone
(713) 695-4646
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trina Howery Hawkins, ADVANCE PRACTICE NUR
Title
Owner
Phone
(281) 387-6916

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4000 Fulton St
Houston, TX 77009-4766

Mailing address

PO Box 681085
Houston, TX 77268-1085
Phone (281) 387-6916

National Provider Directory

National Provider Directory

Locations

4000 Fulton St
Houston, TX 77009
Phone (713) 694-4400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1073860342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681085",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772681085",
            "telephone_number": "281-387-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FULTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770094766",
            "telephone_number": "713-695-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWK'S NEST GERIATRICS & WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "HOWERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-387-6916",
        "authorized_official_credential": "ADVANCE PRACTICE NUR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.