Nichols, David

Nichols, David is an individual health care provider with primary practice located at 2018 Pulliam St , San Angelo TX 76905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Nichols, David can be contacted via phone (325) 659-7290.

Contact Information

Primary practice address
2018 Pulliam St San Angelo TX 76905
Phone: (325) 659-7290
Fax: (325) 659-7291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X N0321 Texas
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X N0321 Texas

Profile Details

NPI number 1003951245
LBN Legal business name Nichols, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Oct 11th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003951245 NPPES
Texas Other N0321 LICENSE
Texas MEDICAID 203778902 LICENSE

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