MEDICARE: THE DIXON GROUP, 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	332B00000X	Durable Medical Equipment & Medical Supplies	0094864	TX
2	332B00000X	Durable Medical Equipment & Medical Supplies	1000462	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639392673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DIXON GROUP, LLC

Provider Business Mailing Address
First Line	:	7320 ASHCROFT DR STE 306
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6337
Country	:	US
Telephone Number	:	713-778-1981
Fax Number	:	713-778-1987

Provider Business Practice Location Address
First Line	:	7320 ASHCROFT DR STE 306
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-6337
Country	:	US
Telephone Number	:	713-778-1981
Fax Number	:	713-778-1987

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES EDWARD DIXON
Credential	:
Telephone Number	:	713-778-1981

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	04/06/2011

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Directions to “THE DIXON GROUP, LLC ” Practice Location

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