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Timothy D Nichols, MD
Radiation Oncology Physician in Dallas, Texas
NPI 1093752073

Timothy D Nichols is a Radiation Oncology Physician based in Dallas, TX and is specialized in Radiation Oncology. Timothy D Nichols practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Timothy D Nichols is 1093752073 and holds a License No. J1744 (Texas).

The current practice location address for Timothy D Nichols is 12606 Greenville Ave, Dallas, TX and can be reached out via phone at 469-364-7880 and via fax at 469-364-7895.

Location: 12606 Greenville Ave, Dallas, TX, 75379-7885
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093752073
Provider Name
Timothy D Nichols
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12606 Greenville Ave, Dallas, TX, 75379-7885
Phone Number
469-364-7880
Fax Number
469-364-7895
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126533203 05 TX
920003991 01 TX RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
12606 Greenville Ave
City
Dallas
State
Texas
Zip
75243-1921
Phone Number
469-364-7880
Fax Number
469-364-7895
person
Provider Business Mailing Address Details
Address
12606 Greenville Ave
City
Dallas
State
Texas
Zip
75243-1921
Phone Number
469-364-7880
Fax Number
469-364-7895
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
J1744 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
J1744 (Texas)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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