Allie Rose Hawkins, LAT, ATC
Individual provider Active NPI Sports Medicine (Emergency Medicine) Physician · Melissa, TX
NPI 1093433385 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1093433385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Emergency Medicine) Physician 207PS0010X
- License
- AT7428 (TX)
- Practice address
- 2700 Kennedy Dr
Melissa, TX 75454-2500 - Phone
- (951) 790-6184
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT7428 | TX | MD | Sports Medicine (Emergency Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician |
207PS0010X | AT7428 | TX | Yes |
Addresses
Primary practice location
2700 Kennedy Dr
Melissa, TX 75454-2500
Mailing address
2700 Kennedy Dr
Melissa, TX 75454-2500
Phone (951) 790-6184
Other providers in Melissa, TX
- H-E-B, LP
- Ademola Hammed
- Harmony Angels Homecare LLC
- Ewa Hasiec
- Havillah Home Health Care Services LLC
- Kerri Lea Haziri
- Andrew David Heath
- Claire Marin Heers
- Helga Healthcare, PLLC
- Sharon Henry
All providers in Melissa, TX · Sports Medicine (Emergency Medicine) Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.