Basic Information
| Provider Information | |||||||||
| NPI: | 1639577257 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAWN WOMENS HEALTH PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 890353 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 772890353 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819934072 | ||||||||
| FaxNumber: | 2819938051 | ||||||||
| Practice Location | |||||||||
| Address1: | 1113 W BAKER RD STE C | ||||||||
| Address2: | |||||||||
| City: | BAYTOWN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 775212392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2819933733 | ||||||||
| FaxNumber: | 2819938051 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/13/2014 | ||||||||
| LastUpdateDate: | 12/23/2014 | ||||||||
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| AuthorizedOfficialLastName: | QAYYUM | ||||||||
| AuthorizedOfficialFirstName: | MOHSIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEMBER | ||||||||
| AuthorizedOfficialTelephone: | 2819934072 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | N2198 | TX | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.