Organization · Type 2 NPI
Donald G Nicholas JR MD
General Practice Physician · Desoto, TX
NPI number
1770516817
Active
Practice location
2701 Prince George Ave Ste 100
Desoto, TX 75115-2087
Fax (972) 224-9098
Mailing address
2701 Prince George Ave, Suite 100
Desoto, TX 75115-2087
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | H1995 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
4 other providers at this address
About NPI 1770516817
Donald G Nicholas JR MD's National Provider Identifier is 1770516817, issued on Jul 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Desoto, TX. The record was last updated on Oct 6, 2017.