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1790968691
LARRY DARNIEL DIXON
HOUSTON, TX
NPI
1790968691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: TX 17851528)
Enumeration Date
2007-12-13
Last Update Date
2007-12-13
Business Address
Mr. LARRY DARNIEL DIXON
8805 SOLON RD G5
HOUSTON, TX 77064-1222
Phone number: 281-477-8802
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Mailing Address
Mr. LARRY DARNIEL DIXON
8805 SOLON RD G5
HOUSTON, TX 77064-1222
Phone number: 281-477-8802
Copy
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