Timothy D Nichols, M.D.P.A.

LBN: Timothy D Nichols, M.D.P.A.
Timothy D Nichols, M.D.P.A. is an health care organization with primary practice located at 12606 Greenville Ave Suite 160, Dallas TX 75243-1921. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Timothy D Nichols, M.D.P.A. can be contacted via phone (469) 364-7880, or through Nichols, Timothy D via phone (940) 626-0059.

Contact Information

Primary practice address
12606 Greenville Ave Suite 160 Dallas TX 75243-1921
Phone: (469) 364-7880
Fax: (469) 364-7895
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Timothy D Doctor of Medicine (MD)
Phone: (940) 626-0059

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J1744 Texas

Profile Details

NPI number 1376776187
LBN Legal business name Timothy D Nichols, M.D.P.A.
DBA Doing business as
Authorized official Nichols, Timothy D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2009
Last updated Aug 26th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376776187 NPPES
Texas MEDICAID 126533203

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