Joanna Nicole Hawkins-Hudson, CSFA
Individual provider Active NPI Surgical Assistant · Krum, TX
NPI 1578283024 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1578283024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 206881 (TX)
- Practice address
- 518 N 2ND St
Krum, TX 76249-5117 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 206881 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Surgical Assisting LLC | Surgical Assistant | Current |
Accepting new patients |
Locations
3905 Melcer Dr
Ste 601
Rowlett, TX 75088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 206881 | TX | Yes |
Addresses
Primary practice location
518 N 2ND St
Krum, TX 76249-5117
Mailing address
3905 Melcer Dr Ste 601
Rowlett, TX 75088-4033
Phone (214) 227-2457
Other names
- Joanna Nicole Hudson
Other providers in Krum, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 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.