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Individual

MARY KATHERINE GARDNER DIXON

Active
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Individual

MARY KATHERINE GARDNER DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
787974
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP126928
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340908808
TX
05
340908809
TX
01
8JF130
BCBS
TX
Enumeration date
11/26/2014
Last updated
03/24/2025
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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