Individual provider · Type 1 NPI
Julie Anne Nichols, MED, CALT/LDT
Specialist · Selma, TX
NPI number
1699101972
Active
Practice location
15107 Cog Hl
Selma, TX 78154-1327
Mailing address
16765 Lookout Rd
Selma, TX 78154-3809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 2050 (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.
About NPI 1699101972
Julie Anne Nichols, MED, CALT/LDT's National Provider Identifier is 1699101972, issued on Sep 18, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Selma, TX. The record was last updated on Sep 18, 2013.