Individual
DR. BRIAN JAMEL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 7TH AVE, FORT WORTH, TX 76104-2722
(682) 885-1050
(682) 885-7572
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N6260
TX
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
N6260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282581202
—
TX
Enumeration date
07/03/2008
Last updated
05/06/2013
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