MEDICARE: FLOYD E DIXON II

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	146N00000X	Basic Emergency Medical Technician	1000455	TX

General Provider Information

NPI Number	:	1558682377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLOYD E DIXON II

Provider Business Mailing Address
First Line	:	9515 HENDON LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-6509
Country	:	US
Telephone Number	:	713-772-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	9515 HENDON LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-6509
Country	:	US
Telephone Number	:	713-772-2211
Fax Number	:

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

Provider Enumeration Date	:	06/15/2010
Last Update Date	:	06/15/2010

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Directions to “ FLOYD E DIXON II ” Practice Location

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