Provider Demographics
NPI:1679712533
Name:DIXON, SUMMER LEE (DO)
Entity type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:LEE
Last Name:DIXON
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:LEE
Other - Last Name:DAMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:6451 BRENTWOOD STAIR RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-3200
Mailing Address - Country:US
Mailing Address - Phone:034-525-5829
Mailing Address - Fax:
Practice Address - Street 1:801 W INTERSTATE 20
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-5851
Practice Address - Country:US
Practice Address - Phone:817-472-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS1072207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine