Provider Demographics
NPI:1558720045
Name:CONWRIGHT, DAWN (CPNP)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:CONWRIGHT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 CITY BANK PARKWAY STE 35
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407
Mailing Address - Country:US
Mailing Address - Phone:806-761-0360
Mailing Address - Fax:806-782-0097
Practice Address - Street 1:6809 SLIDE RD STE J
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1517
Practice Address - Country:US
Practice Address - Phone:806-771-7257
Practice Address - Fax:806-788-0853
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP129390363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics