Provider Demographics
NPI:1861751646
Name:BIXEL, DAVID ROBERT (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ROBERT
Last Name:BIXEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 WYOMING BLVD NE
Mailing Address - Street 2:SUITE D-4
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87113-2009
Mailing Address - Country:US
Mailing Address - Phone:505-884-8584
Mailing Address - Fax:505-821-8594
Practice Address - Street 1:8001 WYOMING BLVD NE
Practice Address - Street 2:SUITE D-4
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87113-2009
Practice Address - Country:US
Practice Address - Phone:505-884-8584
Practice Address - Fax:505-821-8594
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010601111N00000X
NM1970111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor