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General NPI Number Information
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NPI Number | 1538215082
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Entity Type | Organization
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Legal Business Name | NIXON HOME CARE
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2200 FM 1092 RD STE A
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1807
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Country | US
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Telephone | 281-499-9892
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Fax | 281-499-9110
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Provider Business Mailing Address
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Address Line | 3719 LYNNFIELD ST
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City | HOUSTON
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State | TX
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Zip | 77016-6727
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Country | US
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Telephone | 713-633-4700
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Fax | 713-633-6964
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TROY TYRONE CARTER
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Credential |
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Telephone | 713-633-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 117551
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License Number State | TX
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