Provider Demographics
NPI:1821326968
Name:VLIER BUSH, DAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:VLIER BUSH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20121 W LAKE HOUSTON PKWY STE 1600
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3548
Mailing Address - Country:US
Mailing Address - Phone:281-852-8724
Mailing Address - Fax:281-852-9550
Practice Address - Street 1:20121 W LAKE HOUSTON PKWY STE 1600
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3548
Practice Address - Country:US
Practice Address - Phone:281-852-8724
Practice Address - Fax:281-852-9550
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2012-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7831111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L24955Medicare PIN