Individual
JACKIE NIXON-FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
644 COUNTY ROAD 3550, PARADISE, TX 76073-3007
(214) 534-7726
Mailing address
644 COUNTY ROAD 3550, PARADISE, TX 76073-3007
(214) 534-7726
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F4330
TX
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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