Individual
CARLTON DOUGLAS DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4427 DESERT VIEW DR, SAN ANTONIO, TX 78217-3631
(405) 658-3255
Mailing address
PO BOX 45831, TINKER AFB, OK 73145-0831
(405) 658-3255
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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