| Doctor Name: | DR. RICHARD DEAN NIXON |
| NPI Number: | 1598756223 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101047763 |
| Business Practice Address: | 576 Jefferson Avenue Mcdonald Army Health Center, Fort Eustis, VA - 236045548 |
| Business Phone Number: | 7573144490 |
| Business Fax Number: | 7573147854 |
| Mailing Address: | 576 Jefferson Avenue, Mcdonald Army Health Center, FORT EUSTIS |
| State: | VA |
| Postal Code: | 236045548 |
| Phone Number: | 7573144490 |
| Fax Number: | 7573147854 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 06/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 0101047763 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |