Healthcare Provider Details

I. General information

NPI: 1154577369
Provider Name (Legal Business Name): JOHN R DAWSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CAMBRIDGE ST FL 10
HOUSTON TX
77030-4202
US

IV. Provider business mailing address

6620 MAIN ST STE. 1325
HOUSTON TX
77030-2348
US

V. Phone/Fax

Practice location:
  • Phone: 713-986-6016
  • Fax:
Mailing address:
  • Phone: 713-686-6016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberAR 3354292
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberP0193
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberP0193
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: