Organization
DONALD V. NIX D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANETTE ROBERTS (OFFICE MANAGER)
(972) 985-7555
Entity
Organization
Contact information
Practice address
5501 INDEPENDENCE PKWY STE 104, PLANO, TX 75023-5469
(972) 985-7555
(972) 964-5193
Mailing address
2 WIMBLEDON CT, FRISCO, TX 75034-5939
(972) 985-7555
(972) 964-5193
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
12607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113900
CIGNA DMO
TX
Enumeration date
07/18/2006
Last updated
08/22/2020
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