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NPI Code Detail

MEDICARE: MRS. DANA PARKER NIX R.D.

MEDICARE: MRS. DANA PARKER NIX R.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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1437161791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA PARKER NIX R.D.
Provider Business Mailing Address
First Line : 1201 E 9TH ST
Second Line :
City : BONHAM
State : TX
Zip : 75418-4059
Country : US
Telephone Number : 903-583-6290
Fax Number : 903-583-6565
Provider Business Practice Location Address
First Line : 1201 E 9TH ST
Second Line :
City : BONHAM
State : TX
Zip : 75418-4059
Country : US
Telephone Number : 903-583-6290
Fax Number : 903-583-6565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 07/08/2007

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