Provider Demographics
NPI:1841564812
Name:EDNA GRACE DOWSON
Entity Type:Organization
Organization Name:EDNA GRACE DOWSON
Other - Org Name:PRIMARY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:GRACE
Authorized Official - Last Name:DOWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN-FNP
Authorized Official - Phone:281-745-7991
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 570
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:832-333-9901
Mailing Address - Fax:832-333-9902
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 570
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:832-333-9901
Practice Address - Fax:832-333-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX521765363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty