Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | K5892 | TX |
NPI | 1104802503 |
---|---|
Provider Name | Dr. David Lee Dawson |
First Address | Belton, TX 76513-6754 |
Second Address | Temple, TX 76508-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2005 |
Last Update Date | 27/01/2022 |