Provider Demographics
NPI:1922327444
Name:DAWSON, BRITTANY NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NICOLE
Last Name:DAWSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:BRITTANY
Other - Middle Name:NICOLE-DAWSON
Other - Last Name:TUAMOKUMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2215 NASHVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1105
Mailing Address - Country:US
Mailing Address - Phone:806-725-5844
Mailing Address - Fax:806-723-6532
Practice Address - Street 1:3514 21ST ST FL 6
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-725-2263
Practice Address - Fax:806-723-7768
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9831172V00000X, 207R00000X, 207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No172V00000XOther Service ProvidersCommunity Health Worker
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX340040001Medicaid
TX272107200OtherFIRSTCARE
TX357461YKT8OtherMEDICARE
NM01130226Medicaid
TX8EM689OtherBCBS
TXP01440645OtherRAILROAD MEDICARE