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NPI Code Detail

MEDICARE: DARRELL R DIXON M.D.

MEDICARE:   DARRELL R DIXON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianJ7944TX
2207Q00000XFamily Medicine Physician052555GA
3207Q00000XFamily Medicine Physician165414-1205UT

General Provider Information

NPI Number : 1003883398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRELL R DIXON M.D.
Provider Business Mailing Address
First Line : 50 COVE VIEW TRAIL CT
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77389-7592
Country : US
Telephone Number : 713-586-9289
Fax Number : 281-547-8241
Provider Business Practice Location Address
First Line : 50 COVE VIEW TRAIL CT
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77389-7592
Country : US
Telephone Number : 713-586-9289
Fax Number : 281-547-8241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2006
Last Update Date : 02/25/2015

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Directions to “ DARRELL R DIXON M.D.” Practice Location

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