Provider Demographics
NPI:1639394695
Name:DIXDOWELL & ASSOCIATES
Entity Type:Organization
Organization Name:DIXDOWELL & ASSOCIATES
Other - Org Name:CORINTH FAMILY MEDICINE AND PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PROVIDER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-497-4900
Mailing Address - Street 1:3001 FM 2181 STE 300
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-4250
Mailing Address - Country:US
Mailing Address - Phone:940-497-4900
Mailing Address - Fax:940-497-4901
Practice Address - Street 1:3001 FM 2181 STE 300
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-4250
Practice Address - Country:US
Practice Address - Phone:940-497-4900
Practice Address - Fax:940-497-4901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9350207Q00000X
TXL9351208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX169794801Medicaid
TX169794802OtherTEXAS HEALTH STEPS
TX169794801Medicaid