MEDICARE: MS. DEBORA ANN NIXON RN, BSN, MBA

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	177F00000X	Lodging Provider	119588	TX
2	251B00000X	Case Management Agency	583805	TX

General Provider Information

NPI Number	:	1528258308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORA ANN NIXON RN, BSN, MBA

Provider Business Mailing Address
First Line	:	6800 BLEKER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-6714
Country	:	US
Telephone Number	:	713-631-9100
Fax Number	:	713-631-9101

Provider Business Practice Location Address
First Line	:	6800 BLEKER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-6714
Country	:	US
Telephone Number	:	713-631-9100
Fax Number	:	713-631-9101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	12/10/2024

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