MEDICARE: HIXON CHIROPRACTIC INC

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
1	111N00000X	Chiropractor	1536	AR

General Provider Information

NPI Number	:	1316208820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIXON CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	2305 SPRINGHILL RD
Second Line	:	STE. 6
City	:	BRYANT
State	:	AR
Zip	:	72019-7552
Country	:	US
Telephone Number	:	501-847-3373
Fax Number	:	501-847-3370

Provider Business Practice Location Address
First Line	:	2305 SPRINGHILL RD
Second Line	:	STE. 10
City	:	BRYANT
State	:	AR
Zip	:	72019-7552
Country	:	US
Telephone Number	:	501-847-3373
Fax Number	:	501-847-3370

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DENVER ALAN HIXON
Credential	:	D.C.
Telephone Number	:	501-847-3373

Provider Enumeration Date	:	05/31/2012
Last Update Date	:	01/09/2015

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