Dixon, Tanya S
Dixon, Tanya S is an individual health care provider with primary practice located at 800 5Th Ave Ste 500 , Fort Worth TX 76104-7304. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is her primary health care specialty. Dixon, Tanya S can be contacted via phone (817) 250-4280.Contact Information
Primary practice address
800 5Th Ave Ste 500
Fort Worth TX 76104-7304
Phone: (817) 250-4280
Fax: (817) 820-4281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | P7099 | Texas |
Profile Details
| NPI number | 1356549869 |
|---|---|
| LBN Legal business name | Dixon, Tanya S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Sep 29th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356549869 | NPPES |
| Texas | MEDICAID | 324215802 |
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