Individual
GEORGIA PATRIKA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
776176
TX
363LF0000X
Family Nurse Practitioner
AP124503
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP124503
TX
Other
Enumeration date
09/26/2013
Last updated
02/15/2024
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