Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 12607 | TX |
NPI | 1063412849 |
---|---|
Provider Name | Dr. Donald V Nix |
First Address | Plano, TX 75023-5469 |
Second Address | Plano, TX 75023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 14/07/2020 |