=====================================================
General NPI Number Information
=====================================================
NPI Number | 1568047934
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NATASHA HOODA DAWOOD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/16/2021
-----------------------------------------------------
Last Update Date | 03/16/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3591 MCKINNEY ST
-----------------------------------------------------
City | MELISSA
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75454-9571
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-837-2222
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5701 MCKINNEY PLACE DR APT 6235
-----------------------------------------------------
City | MCKINNEY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75070-1779
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-681-6948
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 10038T
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------