Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | L5723 | TX |
Y | 207RS0012X | Sleep Medicine | L5723 | TX |
NPI | 1023079613 |
---|---|
Provider Name | Frederick Earl Dixon |
First Address | San Marcos, TX 78666-5624 |
Second Address | San Marcos, TX 78666-5624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 13/02/2019 |