MEDICARE: DIXON CHIROPRACTIC, LLC

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	12971	TX

General Provider Information

NPI Number	:	1437533742
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIXON CHIROPRACTIC, LLC

Provider Business Mailing Address
First Line	:	5801 CURZON AVE STE 213
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5812
Country	:	US
Telephone Number	:	817-313-8026
Fax Number	:	844-783-2533

Provider Business Practice Location Address
First Line	:	5801 CURZON AVE STE 213
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5812
Country	:	US
Telephone Number	:	817-313-8026
Fax Number	:	844-783-2533

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASON ALLEN DIXON
Credential	:	D.C.
Telephone Number	:	817-313-8026

Provider Enumeration Date	:	07/16/2015
Last Update Date	:	04/17/2023

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