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NPI Code Detail

MEDICARE: DR. DAWN PHUONG NEVLE M.D.

MEDICARE: DR. DAWN PHUONG NEVLE M.D.
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
1207R00000XInternal Medicine PhysicianJ6625TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1110184123OTHERTXRAILROAD MEDICARE
4TXB135624OTHERTXMEDICARE IND PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
345D0930092OTHERTXCLIA

General Provider Information

NPI Number : 1366537243
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWN PHUONG NEVLE M.D.
Provider Business Mailing Address
First Line : PO BOX 57845
Second Line :
City : WEBSTER
State : TX
Zip : 77598-7845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20423 KUYKENDAHL RD STE 100
Second Line :
City : SPRING
State : TX
Zip : 77379-3492
Country : US
Telephone Number : 281-500-8660
Fax Number : 281-500-8669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 02/13/2026

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