Provider Demographics
NPI:1558725416
Name:DAWSON, PERRI I (RCIS, RT, (R)(CI)ARR)
Entity Type:Individual
Prefix:
First Name:PERRI
Middle Name:
Last Name:DAWSON
Suffix:I
Gender:F
Credentials:RCIS, RT, (R)(CI)ARR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8662 TENNESSEE RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-1335
Mailing Address - Country:US
Mailing Address - Phone:903-824-1686
Mailing Address - Fax:
Practice Address - Street 1:8662 TENNESSEE RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1335
Practice Address - Country:US
Practice Address - Phone:903-824-1686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX21113246X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist Cardiovascular