Individual
HOWARD DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14220 NORTHBROOK DR, SUITE 100, SAN ANTONIO, TX 78232-5076
(210) 403-0429
(210) 615-7250
Mailing address
14220 NORTHBROOK DR, SUITE 100, SAN ANTONIO, TX 78232-5076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
364100874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124033196
WALGREENS INFUSION SERVICES
TX
Enumeration date
07/18/2014
Last updated
07/18/2014
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