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Amy L Nicholas, PA
Medical Physician Assistant in Grapevine, Texas
NPI 1811983174

Amy L Nicholas is a Medical Physician Assistant based in Southlake, TX and is specialized in Medical. Amy L Nicholas practices in Grapevine, TX and has the professional credentials of PA. The NPI Number for Amy L Nicholas is 1811983174 and holds a License No. PA03950 (Texas).

The current practice location address for Amy L Nicholas is 1650 W Northwest Hwy Ste 200, Grapevine, TX and can be reached out via phone at 972-716-3922 and via fax at 214-948-5516.

Location: 1650 W Northwest Hwy Ste 200, Grapevine, TX, 76092-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811983174
Provider Name
Amy L Nicholas
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1650 W Northwest Hwy Ste 200, Grapevine, TX, 76092-2501
Phone Number
972-716-3922
Fax Number
214-948-5516
Provider Enumeration Date
09/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1650 W Northwest Hwy Ste 200
City
Grapevine
State
Texas
Zip
76051-8122
Phone Number
972-716-3922
Fax Number
214-948-5516
person
Provider Business Mailing Address Details
Address
1650 W Northwest Hwy Ste 200
City
Grapevine
State
Texas
Zip
76051-8122
Phone Number
972-716-3922
Fax Number
214-948-5516
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA03950 (Texas)
Definition
Definition to come...
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