Individual
ERIC HIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
77 CASA ST, 201, SAN LUIS OBISPO, CA 93405-5803
(805) 269-1500
(805) 269-1585
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA165420
—
CA
Enumeration date
12/15/2005
Last updated
06/11/2015
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