Provider Demographics
NPI:1205289550
Name:THORN, DAWNISHA
Entity type:Individual
Prefix:
First Name:DAWNISHA
Middle Name:
Last Name:THORN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5706 GASSER LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-5200
Mailing Address - Country:US
Mailing Address - Phone:832-434-4821
Mailing Address - Fax:
Practice Address - Street 1:5706 GASSER LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-5200
Practice Address - Country:US
Practice Address - Phone:832-434-4821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care