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Charles C Nicolette, MD
Diagnostic Radiology Physician in Odessa, Texas
NPI 1255357323

Charles C Nicolette is a Diagnostic Radiology Physician based in Rockwall, TX and is specialized in Diagnostic Radiology. Charles C Nicolette practices in Odessa, TX and has the professional credentials of MD. The NPI Number for Charles C Nicolette is 1255357323 and holds a License No. E3074 (Texas).

The current practice location address for Charles C Nicolette is 500 W 4Th St, Odessa, TX and can be reached out via phone at 469-757-1000.

Location: 500 W 4Th St, Odessa, TX, 75087-0103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255357323
Provider Name
Charles C Nicolette
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 W 4Th St, Odessa, TX, 75087-0103
Phone Number
469-757-1000
Fax Number
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 TX
8F4462 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
500 W 4Th St
City
Odessa
State
Texas
Zip
79761-5001
Phone Number
469-757-1000
Fax Number
person
Provider Business Mailing Address Details
Address
500 W 4Th St
City
Odessa
State
Texas
Zip
79761-5001
Phone Number
469-757-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
E3074 (Texas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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