Organization
DAVID T.NIXON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T. NIXON MD (OWNER)
(870) 534-2624
Entity
Organization
Contact information
Practice address
1716 W 42ND AVE, PINE BLUFF, AR 71603-7008
(870) 534-2624
(870) 534-2630
Mailing address
1716 W 42ND AVE, PINE BLUFF, AR 71603-7008
(870) 534-2624
(870) 534-2630
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C5815
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160668002
—
AR
01
—
P00336079
PALMETTO GBA- RAILROAD MEDICARE
AR
Enumeration date
04/12/2007
Last updated
02/14/2011
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