| Doctor Name: | DIXON PARNELL |
| NPI Number: | 1417370529 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 71606 |
| Business Practice Address: | 1715 Fm 1626 Suite 102 Manchaca, TX - 786523553 |
| Business Phone Number: | 5122805315 |
| Business Fax Number: | |
| Mailing Address: | 1715 W Farm To Market 1626, #102 MANCHACA |
| State: | TX |
| Postal Code: | 78652 |
| Phone Number: | 5124817441 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2014 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 71606 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |