Gary Lindley Hawkins II, P.A.-C
Individual provider Active NPI Medical Physician Assistant · Aledo, TX
NPI 1992731079 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1992731079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA03518 (TX)
- Practice address
- 5700 East 1-20 Service Road South
Suite 100
Aledo, TX 76008-5115 - Phone
- (817) 489-7300
- Fax
- (817) 489-7301
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000116 | TX | Practitioner - Physician Assistant | 1153324199 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03518 | TX | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03518 | TX | Yes |
Addresses
Primary practice location
5700 East 1-20 Service Road South
Suite 100
Aledo, TX 76008-5115
Mailing address
505 Spring Creek Pkwy
Weatherford, TX 76087-7350
Phone (682) 351-7765
Other names
- Mr. Gary Lindley Hawkins II
Other providers in Aledo, TX
- Kimbell Austin Hall
- Kristina Turk Hall
- Alesa Rochelle Hamilton
- Jalissa Harkins
- Jennifer Gail Harr
- Helping Hands Support Services LLC
- Andrea Hendrickson
- John Burris Hicks III
- Highbury Counseling PLLC
- Kaley Hill
All providers in Aledo, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.