Individual
CONNIE FAYE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4447 FM RD 2661, TYLER, TX 74704
(903) 521-5606
Mailing address
4447 FM RD 2661, TYLER, TX 74704
(903) 521-5606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
606424
TX
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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