Individual provider · Type 1 NPI

Randall Lat Taylor Nichols, DO

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

NPI number 1447046859 Active

Practice location

1600 Providence Dr
Waco, TX 76707-2261

Call (254) 313-4200 Map

Specialties and licenses

TaxonomyCodeLicense
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 1447046859

Randall Lat Taylor Nichols, DO's National Provider Identifier is 1447046859, issued on Apr 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waco, TX. The record was last updated on Apr 15, 2025.