Healthcare Provider Details

I. General information

NPI: 1477030559
Provider Name (Legal Business Name): DAWN HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 FM 2920 RD STE 502
SPRING TX
77388
US

IV. Provider business mailing address

6715 SANDIA CREST ST
SPRING TX
77379-1107
US

V. Phone/Fax

Practice location:
  • Phone: 281-541-4820
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number12859
License Number StateTX

VIII. Authorized Official

Name: AMBER DAWN DEPASQUALE GREGORY
Title or Position: OWNER/CHIROPRACTOR
Credential:
Phone: 281-541-4820