Individual provider · Type 1 NPI

Scott A. Nicklebur, MD

Emergency Medical Services (Emergency Medicine) Physician · Round Rock, TX

NPI number 1740233600 Active

Practice location

302 University Blvd
Round Rock, TX 78665-1032

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XL3040 (TX)
Internal Medicine Physician 207R00000XL3040 (TX)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1740233600

Scott A. Nicklebur, MD's National Provider Identifier is 1740233600, issued on May 19, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Round Rock, TX. The record was last updated on Jan 7, 2021.