Nichols, Mark Lynn

Nichols, Mark Lynn is an individual health care provider with primary practice located at 915 Gessner Rd #280, Houston TX 77024-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Nichols, Mark Lynn can be contacted via phone (713) 461-2626.

Contact Information

Primary practice address
915 Gessner Rd #280 Houston TX 77024-2527
Phone: (713) 461-2626
Fax: (713) 984-1703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otology & Neurotology 207YX0901X H3922 Texas

Profile Details

NPI number 1215910732
LBN Legal business name Nichols, Mark Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Oct 21st, 2019 - 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 1215910732 NPPES
Texas MEDICAID 116661302
Texas Other TXB166198

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