Provider Demographics
NPI:1033176029
Name:MIXON, JAMES A (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:MIXON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:8301 LAKEVIEW PKWY
Mailing Address - Street 2:SUITE 111-275
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9320
Mailing Address - Country:US
Mailing Address - Phone:972-272-4232
Mailing Address - Fax:972-272-4247
Practice Address - Street 1:2692 W WALNUT ST STE 101
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6417
Practice Address - Country:US
Practice Address - Phone:972-272-4232
Practice Address - Fax:972-272-4247
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX9902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX611707Medicare PIN