Provider Demographics
NPI:1134511884
Name:HARRELL, DAWN (ATC)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:HARRELL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2814 FOSTER HILL DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345-2547
Mailing Address - Country:US
Mailing Address - Phone:832-246-2200
Mailing Address - Fax:
Practice Address - Street 1:20121 W LAKE HOUSTON PKWY STE 1600
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3548
Practice Address - Country:US
Practice Address - Phone:281-852-8724
Practice Address - Fax:281-929-0390
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-04
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT27452255A2300X
TX15661111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer