Healthcare Provider Details

I. General information

NPI: 1528258308
Provider Name (Legal Business Name): DEBORA ANN NIXON RN, BSN, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 12/10/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 BLEKER ST
HOUSTON TX
77016-6714
US

IV. Provider business mailing address

6800 BLEKER ST
HOUSTON TX
77016-6714
US

V. Phone/Fax

Practice location:
  • Phone: 713-631-9100
  • Fax: 713-631-9101
Mailing address:
  • Phone: 713-631-9100
  • Fax: 713-631-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number119588
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number583805
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: