Healthcare Provider Details

I. General information

NPI: 1033176029
Provider Name (Legal Business Name): JAMES A MIXON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2692 W WALNUT ST STE 101
GARLAND TX
75042-6417
US

IV. Provider business mailing address

8301 LAKEVIEW PKWY SUITE 111-275
ROWLETT TX
75088-9320
US

V. Phone/Fax

Practice location:
  • Phone: 972-272-4232
  • Fax: 972-272-4247
Mailing address:
  • Phone: 972-272-4232
  • Fax: 972-272-4247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9902
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: