Provider Demographics
NPI:1437533742
Name:DIXON CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:DIXON CHIROPRACTIC, LLC
Other - Org Name:EVOLVE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-313-8026
Mailing Address - Street 1:5801 CURZON AVE STE 213
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-5812
Mailing Address - Country:US
Mailing Address - Phone:817-313-8026
Mailing Address - Fax:844-783-2533
Practice Address - Street 1:5801 CURZON AVE STE 213
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-5812
Practice Address - Country:US
Practice Address - Phone:817-313-8026
Practice Address - Fax:844-783-2533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty