Provider Demographics
NPI:1063934735
Name:HAWKINS, CHANTRELLE (LVN)
Entity type:Individual
Prefix:MS
First Name:CHANTRELLE
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2931 UMIAK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-4839
Mailing Address - Country:US
Mailing Address - Phone:713-305-3573
Mailing Address - Fax:
Practice Address - Street 1:2931 UMIAK DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-4839
Practice Address - Country:US
Practice Address - Phone:713-305-3573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX175649164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse