MEDICARE: DAWN EBERLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	35887	TX

General Provider Information

NPI Number	:	1154952257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN EBERLE

Provider Business Mailing Address
First Line	:	2338 IMPERIAL CANYON LN
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-2096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 S VOSS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-2605
Country	:	US
Telephone Number	:	713-780-7643
Fax Number	:	713-974-1435

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2020
Last Update Date	:	05/09/2026

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Directions to “ DAWN EBERLE ” Practice Location

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