Provider Demographics
NPI:1619557188
Name:DAWSON, ROMONA G (RPH)
Entity Type:Individual
Prefix:MS
First Name:ROMONA
Middle Name:G
Last Name:DAWSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20320 NORTHWEST FWY STE 300
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5643
Mailing Address - Country:US
Mailing Address - Phone:832-688-9666
Mailing Address - Fax:832-604-7291
Practice Address - Street 1:20320 NORTHWEST FWY STE 300
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77065-5643
Practice Address - Country:US
Practice Address - Phone:832-688-9666
Practice Address - Fax:832-604-7291
Is Sole Proprietor?:No
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36526183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist