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Individual

MR. LEROME DIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
402 W PALM VALLEY BLVD STE A, ROUND ROCK, TX 78664-4200
(512) 373-2353
Mailing address
402 W PALM VALLEY BLVD STE 243, ROUND ROCK, TX 78664-4200
(512) 373-2353

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
80-04174687
TX
253Z00000X
In Home Supportive Care Agency
Primary
80-0417468
TX

Other

Enumeration date
04/14/2017
Last updated
07/21/2022
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