Individual
EDDIE LEE NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5372 WADDELL LANE, MENARD, TX 76859-0517
(325) 396-3372
Mailing address
PO BOX 517, MENARD, TX 76859-0517
(325) 396-3372
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F7000
TX
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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