Provider Demographics
NPI:1891808374
Name:HIXSON, RONALD R (PHD, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:R
Last Name:HIXSON
Suffix:
Gender:M
Credentials:PHD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 N VETERANS BLVD
Mailing Address - Street 2:STE. 280
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852
Mailing Address - Country:US
Mailing Address - Phone:830-757-3335
Mailing Address - Fax:830-757-3741
Practice Address - Street 1:2230 VETERANS BLVD
Practice Address - Street 2:STE. 280
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852
Practice Address - Country:US
Practice Address - Phone:830-757-3335
Practice Address - Fax:830-757-4731
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003316-042177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist