Provider Demographics
NPI:1598878423
Name:CALHOUN, DIONNE (ATC/L, NASM PES)
Entity Type:Individual
Prefix:MR
First Name:DIONNE
Middle Name:
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:ATC/L, NASM PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 VICTORY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-7601
Mailing Address - Country:US
Mailing Address - Phone:214-665-4645
Mailing Address - Fax:214-665-4647
Practice Address - Street 1:2500 VICTORY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-7601
Practice Address - Country:US
Practice Address - Phone:214-665-4645
Practice Address - Fax:214-665-4647
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT32762255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer