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NPI Code Detail

MEDICARE: D RIXTER, MD PLLC

MEDICARE: D RIXTER, MD PLLC
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
1207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1417473240
Entity Type Code : Organization
Provider Name (Legal Business Name) : D RIXTER, MD PLLC
Provider Business Mailing Address
First Line : 5407 BASSWOOD BLVD STE 115
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-4499
Country : US
Telephone Number : 817-770-4471
Fax Number : 817-770-4242
Provider Business Practice Location Address
First Line : 5407 BASSWOOD BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76137-6900
Country : US
Telephone Number : 310-291-2335
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DAVIDA RIXTER
Credential : MD
Telephone Number : 817-770-4471
Provider Enumeration Date : 08/14/2017
Last Update Date : 11/15/2018

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Directions to “D RIXTER, MD PLLC ” Practice Location

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