Individual provider · Type 1 NPI

Crystal Nicholas, PA-C

Physician Assistant · Dallas, TX

NPI number 1174980932 Active

Practice location

6201 Harry Hines Blvd
Dallas, TX 75235-5202

Mailing address

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Other practice locations

  • 4000 E Renner Rd Apt 1028, Richardson, TX 75082-2732 · (520) 248-2733

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA10407 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174980932

Crystal Nicholas, PA-C's National Provider Identifier is 1174980932, issued on Jan 25, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dallas, TX. The record was last updated on Jul 17, 2025.