Individual
DR. CHARLES THOMAS NIXON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240-6533
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F4329
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110187502
—
TX
05
—
110187509
—
TX
01
—
8EH838
BCBS
TX
Enumeration date
02/15/2006
Last updated
05/07/2020
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