Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Daniel Dixon, LAT

Individual provider Athletic Trainer · NPI 1093530503

Derek Daniel Dixon, LAT is an Athletic Trainer in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

7173 Fm 1628
San Antonio, TX 78263-9621
Phone: (210) 634-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT8046 (TX)

Record details

NPI number1093530503
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address7173 Fm 1628, San Antonio, TX 78263-9621

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