Healthcare Provider Details

I. General information

NPI: 1023274362
Provider Name (Legal Business Name): DAWSON COUNTY HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NORTH BRYAN AVENUE
LAMESA TX
79331-3145
US

IV. Provider business mailing address

1600 NORTH BRYAN AVENUE
LAMESA TX
79331-3145
US

V. Phone/Fax

Practice location:
  • Phone: 806-872-2183
  • Fax: 806-872-7943
Mailing address:
  • Phone: 806-872-2183
  • Fax: 806-872-7943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LETHA JOY HUGHES
Title or Position: COO
Credential:
Phone: 806-872-2183