Provider Demographics
NPI:1699029975
Name:BIXEL, ASHLEY N (RD, LD)
Entity Type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:N
Last Name:BIXEL
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 MATISSE DR
Mailing Address - Street 2:APT. 315
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-2375
Mailing Address - Country:US
Mailing Address - Phone:214-356-8889
Mailing Address - Fax:
Practice Address - Street 1:2008 L DON DODSON DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5788
Practice Address - Country:US
Practice Address - Phone:817-288-0121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered