Provider Demographics
NPI:1780497412
Name:DAWNCREST LLC
Entity type:Organization
Organization Name:DAWNCREST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAH RUKH
Authorized Official - Middle Name:
Authorized Official - Last Name:SALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-970-9790
Mailing Address - Street 1:1390 N MAIN ST APT 2217
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-2945
Mailing Address - Country:US
Mailing Address - Phone:682-970-9790
Mailing Address - Fax:
Practice Address - Street 1:1390 N MAIN ST APT 2217
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-2945
Practice Address - Country:US
Practice Address - Phone:214-705-2301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies