institution
Traci L. Nivens, M.d., P.a.
Specialist in Plano, Texas
NPI 1528244001

Traci L. Nivens, M.d., P.a. is a Specialist based in Plano, TX. Traci L. Nivens, M.d., P.a. practices in Plano, TX. The NPI Number for Traci L. Nivens, M.d., P.a. is 1528244001 and holds a License No. K7424 (Texas).

The current practice location address for Traci L. Nivens, M.d., P.a. is 6124 W Parker Rd, Plano, TX and can be reached out via phone at 972-378-3153 and via fax at 972-378-3154.

Location: 6124 W Parker Rd, Plano, TX, 75093-8122
institution
Provider Profile Details
NPI Number
1528244001
Provider Name
Traci L. Nivens, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
6124 W Parker Rd, Plano, TX, 75093-8122
Phone Number
972-378-3153
Fax Number
972-378-3154
Provider Enumeration Date
01/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0033LS 01 TX BLUE CROSS BLUE SHIELD
7708266 01 TX AETNA
institution
Provider Business Practice Location Address Details
Address
6124 W Parker Rd
City
State
Zip
75093-8122
Phone Number
972-378-3153
Fax Number
972-378-3154
person
Provider Business Mailing Address Details
Address
6124 W Parker Rd
City
State
Zip
75093-8122
Phone Number
972-378-3153
Fax Number
972-378-3154
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
K7424 (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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