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Individual

KEVIN NIXON

Active
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Individual

KEVIN NIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L0883
TX
207Q00000X
Family Medicine Physician
Primary
L0883
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142077011
—
TX
01
—
8DH404
BCBS
TX
01
—
P01105214
RAIL ROAD
TX
01
—
TRICARE
750818167043
TX
Enumeration date
06/14/2006
Last updated
04/10/2024
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