Provider Demographics
NPI:1639392673
Name:THE DIXON GROUP, LLC
Entity Type:Organization
Organization Name:THE DIXON GROUP, LLC
Other - Org Name:A & A MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-778-1981
Mailing Address - Street 1:7320 ASHCROFT DR STE 306
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-6337
Mailing Address - Country:US
Mailing Address - Phone:713-778-1981
Mailing Address - Fax:713-778-1987
Practice Address - Street 1:7320 ASHCROFT DR STE 306
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-6337
Practice Address - Country:US
Practice Address - Phone:713-778-1981
Practice Address - Fax:713-778-1987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0094864332B00000X
TX1000462332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186277303Medicaid
TX186277302Medicaid
TX186277301Medicaid
TX186277302Medicaid