Organization · Type 2 NPI

Timothy D Nichols, M.d.p.a.

Specialist · Dallas, TX

NPI number 1376776187 Active

Practice location

12606 Greenville Ave, Suite 160
Dallas, TX 75243-1921

Fax (469) 364-7895

Mailing address

PO Box 797885
Dallas, TX 75379-7885

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XJ1744 (TX)

Specialist: 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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About NPI 1376776187

Timothy D Nichols, M.d.p.a.'s National Provider Identifier is 1376776187, issued on Aug 26, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Aug 26, 2009.