Provider Demographics
NPI:1396876413
Name:HAWKINS, HENY ATKINSON III (ATC, LAT)
Entity type:Individual
Prefix:MR
First Name:HENY
Middle Name:ATKINSON
Last Name:HAWKINS
Suffix:III
Gender:M
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1287 COUNTY ROAD 334
Mailing Address - Street 2:
Mailing Address - City:ROCKDALE
Mailing Address - State:TX
Mailing Address - Zip Code:76567-4311
Mailing Address - Country:US
Mailing Address - Phone:512-430-6150
Mailing Address - Fax:512-430-6116
Practice Address - Street 1:1287 COUNTY ROAD 334
Practice Address - Street 2:
Practice Address - City:ROCKDALE
Practice Address - State:TX
Practice Address - Zip Code:76567-4311
Practice Address - Country:US
Practice Address - Phone:512-430-6150
Practice Address - Fax:512-430-6116
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT03772255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer