Provider Demographics
NPI:1104137827
Name:WALTON, DAWNNA MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:DAWNNA
Middle Name:MARIE
Last Name:WALTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAWNNA
Other - Middle Name:MARIE
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:15591 CREEK BEND DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4628
Mailing Address - Country:US
Mailing Address - Phone:281-727-0076
Mailing Address - Fax:281-727-0420
Practice Address - Street 1:15591 CREEK BEND DR STE 101
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4628
Practice Address - Country:US
Practice Address - Phone:281-727-0076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1299207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty