| Daniel Mark Hixon, | |
|
1776 Generations Way, Ooltewah, TN 37363-1739 | |
| (877) 776-4683 | |
| Not Available |
| Full Name | Daniel Mark Hixon |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1776 Generations Way, Ooltewah, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083437354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XG0600X | Occupational Therapist - Gerontology | 4872 (Tennessee) | Secondary |
| 225X00000X | Occupational Therapist | 4872 (Tennessee) | Primary |
| Provider Name | The Weston Group Of Tennessee Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467866848 PECOS PAC ID: 9436377355 Enrollment ID: O20140905000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Mark Hixon, 9233 Evening Shadow Dr, Chattanooga, TN 37421-3408 Ph: (423) 322-9516 | Daniel Mark Hixon, 1776 Generations Way, Ooltewah, TN 37363-1739 Ph: (877) 776-4683 |
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