Provider Demographics
NPI:1245214550
Name:PEPPLER, DAWNETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:DAWNETTE
Middle Name:
Last Name:PEPPLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N WALDROP DR
Mailing Address - Street 2:SUITE 505
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4705
Mailing Address - Country:US
Mailing Address - Phone:817-277-9415
Mailing Address - Fax:817-277-0360
Practice Address - Street 1:1001 N WALDROP DR
Practice Address - Street 2:SUITE 505
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-4705
Practice Address - Country:US
Practice Address - Phone:817-277-9415
Practice Address - Fax:817-277-0360
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0505174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81667M1Medicare PIN