Individual
DR. REX DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
103 GOEHMANN LN, FREDERICKSBURG, TX 78624-5307
(830) 990-1660
(830) 990-1407
Mailing address
103 GOEHMANN LN, FREDERICKSBURG, TX 78624-5307
(830) 990-1660
(830) 990-1407
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
9558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
608126
BC & BS PROVIDER NUMBER
TX
Enumeration date
05/23/2005
Last updated
05/05/2010
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