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NPI Code Detail

MEDICARE: ABRIEL DIXSON

MEDICARE:   ABRIEL  DIXSON
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
1101YM0800XMental Health Counselor98999TX
2101Y00000XCounselor98999TX

General Provider Information

NPI Number : 1871438267
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRIEL DIXSON
Provider Business Mailing Address
First Line : 328 BICOLE DR
Second Line :
City : BURLESON
State : TX
Zip : 76028-7426
Country : US
Telephone Number : 903-539-6219
Fax Number :
Provider Business Practice Location Address
First Line : 3509 HULEN ST STE 107
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6834
Country : US
Telephone Number : 817-382-7130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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