Individual
DR. DAWN DICKSON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER, PLLC, HOUSTON, TX 77054-2934
(713) 512-7500
(713) 512-7927
Mailing address
7900 FANNIN ST STE 4000, OBGYN MEDICAL CENTER, PLLC, HOUSTON, TX 77054-2934
(713) 512-7500
(713) 512-7927
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H9803
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83041G
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
05/23/2005
Last updated
09/15/2015
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