Provider Demographics
NPI:1720373723
Name:HIXON, DENA R (MD)
Entity Type:Individual
Prefix:DR
First Name:DENA
Middle Name:R
Last Name:HIXON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6452
Mailing Address - Country:US
Mailing Address - Phone:240-276-8961
Mailing Address - Fax:
Practice Address - Street 1:7520 STANDISH PL # 2210
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-7706
Practice Address - Country:US
Practice Address - Phone:240-276-8961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0025364207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology