Phillip Blake Dauwe, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

Q4744 Issued in TX

Practice address

2801 Lemmon Ave
Suite 300
Dallas, TX 75204-2356

Phone

(214) 914-1700

Fax

(214) 821-6584

NPI assigned

Apr 5, 2010

Last updated

May 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1699090431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042356",
            "telephone_number": "214-914-1700",
            "fax_number": "214-821-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 LEMMON AVE",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042356",
            "telephone_number": "214-914-1700",
            "fax_number": "214-821-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUWE",
        "first_name": "PHILLIP",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "Q4744",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A138672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhalchandra Laxmichand Daulat, P.T.
• Sonak B Daulat, M.D.
• Veena B Daulat
• Peter Kenneth Daust Jr., CRNA
• Dauwe Plastic Surgery, PLLC
• Juanita Dauya, PHD, NP-C
• Arash Mohaghegh Davanian, D.O.
• Erica Davanian, D.O.
• Akisha K Dave, PA-C
• Neal Dave, PHARM D

• Plastic Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.