Individual
MR. BYRON CONRAD DIXON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
551 N. 28TH W. AVE., TULSA, OK 74127
(918) 629-7508
Mailing address
551 N 28TH WEST AVE, TULSA, OK 74127-6139
(918) 629-7508
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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