Taylor Hawkins, | |
721 Dunaway Ln, Azle, TX 76020-2605 | |
(817) 444-2536 | |
Not Available |
Full Name | Taylor Hawkins |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 721 Dunaway Ln, Azle, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831676154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT3318 (Mississippi) | Secondary |
225X00000X | Occupational Therapist | 120032 (Texas) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
---|---|
Taylor Hawkins, 1435 Highway 15, Richton, MS 39476-8919 Ph: (256) 302-5127 | Taylor Hawkins, 721 Dunaway Ln, Azle, TX 76020-2605 Ph: (817) 444-2536 |
Bailie Hillman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 S Natural Springs Ln, Azle, TX 76020 Phone: 432-557-8627 | |
Steven Nelson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Attn:rehab, Azle, TX 76020 Phone: 817-444-2536 | |
Shayna Colleen Lacy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 817-444-2536 | |
Reagan Garcia, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 817-444-2536 | |
Erika Anglemyre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 817-444-2536 |