Individual provider · Type 1 NPI

Marc Nicholes, DO

Student in an Organized Health Care Education/Training Program · Fort Bliss, TX

NPI number 1073288767 Active

Practice location

18511 Highlander Medics Street
Fort Bliss, TX 79918

Call (915) 742-0576 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XBP10081686 (TX)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073288767

Marc Nicholes, DO's National Provider Identifier is 1073288767, issued on Aug 13, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Bliss, TX. The record was last updated on Jun 27, 2022.