Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | T1645 | TX |
N | 111NI0900X | Internist | T1645 | TX |
N | 207RH0002X | Hospice and Palliative Medicine | BP10069768 | TX |
NPI | 1033647078 |
---|---|
Provider Name | Dr. Adrienne Nicole Hawkins Baksh |
First Address | Houston, TX 77024-2301 |
Second Address | Houston, TX 77089-6041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2017 |
Last Update Date | 21/07/2021 |