# MR. LEROME DIXON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1710411996
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 80-04174687 | TX | — |
| 253Z00000X | In Home Supportive Care Agency | 80-0417468 | TX | Yes |

## Other

- **Enumeration date:** 04/14/2017
- **Last updated:** 07/21/2022