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Individual

DARRYL DEAN NIX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2300 VALLEY VIEW LN, 100, FARMERS BRANCH, TX 75234-5753
(214) 572-8835
(972) 759-1518
Mailing address
PO BOX 810478, DALLAS, TX 75381-0478
(214) 572-8835
(972) 759-1518

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F9883
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8R6743
BLUE SHIELD
TX
Enumeration date
08/05/2006
Last updated
05/29/2008
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