Provider Demographics
NPI:1528893716
Name:HOKSINS, BETHANY
Entity type:Individual
Prefix:MISS
First Name:BETHANY
Middle Name:
Last Name:HOKSINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 S DELAWARE AVE APT 1724
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-2471
Mailing Address - Country:US
Mailing Address - Phone:281-635-8370
Mailing Address - Fax:
Practice Address - Street 1:6636 S MINGO RD
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3247
Practice Address - Country:US
Practice Address - Phone:918-357-4323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program