# D RIXTER, MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417473240
- **Authorized official:** DR. DAVIDA RIXTER MD (PRESIDENT)
- **Authorized official phone:** (817) 770-4471

## Contact information

- **Practice address:** 5407 BASSWOOD BLVD, FORT WORTH, TX 76137-6900
- **Practice address phone:** (310) 291-2335
- **Mailing address:** 5407 BASSWOOD BLVD STE 115, FORT WORTH, TX 76137-4499
- **Mailing address phone:** (817) 770-4471
- **Mailing address fax:** (817) 770-4242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 11/15/2018