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NPI Code Detail

MEDICARE: DR. DARIUS B. DAWSON PHD

MEDICARE: DR. DARIUS B. DAWSON PHD
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
1103TC0700XClinical Psychologist39011TX

General Provider Information

NPI Number : 1487380093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DARIUS B. DAWSON PHD
Provider Business Mailing Address
First Line : 2002 HOLCOMBE BLVD # 152
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD # 152
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-440-4457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2022
Last Update Date : 04/07/2026

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