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Timothy D Nichols, M.d.p.a.
Specialist in Dallas, Texas
NPI 1376776187

Timothy D Nichols, M.d.p.a. is a Specialist based in Dallas, TX. Timothy D Nichols, M.d.p.a. practices in Dallas, TX. The NPI Number for Timothy D Nichols, M.d.p.a. is 1376776187 and holds a License No. J1744 (Texas).

The current practice location address for Timothy D Nichols, M.d.p.a. 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
institution
Provider Profile Details
NPI Number
1376776187
Provider Name
Timothy D Nichols, M.d.p.a.
Credential
Provider Entity Type
Organization
Address
12606 Greenville Ave, Dallas, TX, 75379-7885
Phone Number
469-364-7880
Fax Number
469-364-7895
Provider Enumeration Date
08/26/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126533203 05 TX
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.
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