Individual
DAVID W NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2615 SHIRLEY AVE, FORT WORTH, TX 76109-1358
(469) 865-3627
Mailing address
2615 SHIRLEY AVE, FORT WORTH, TX 76109-1358
(469) 865-3627
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE, RESTORATIVE SERVICES PROVIDER
—
Enumeration date
11/09/2017
Last updated
11/09/2017
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