Individual
DEREK DANIEL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
7173 FM 1628, SAN ANTONIO, TX 78263-9621
(210) 634-7100
Mailing address
7173 FM 1628, SAN ANTONIO, TX 78263-9621
(210) 634-7100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8046
TX
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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