Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0900X | Dermatopathologist | 1155 | NE |
NPI | 1053739227 |
---|---|
Provider Name | Dr. Caleb Hixson |
First Address | Houston, TX 77030-1312 |
Second Address | Houston, TX 77030-1312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 27/05/2016 |