Amy L Nicholas PA

NPI 1811983174 - Physician Assistant - 363AM0700X

NPI Details
NPI 1811983174
Gender Female
Enumeration Date 09/22/2005
Last Updated 06/22/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
3450 W WHEATLAND RD STE 245
DALLAS TX, 75237-4429, US
Phone (214) 948-8856
Fax (214) 948-5516
Business Location
3139 SOUTHLAKE PARK RD
SOUTHLAKE TX, 76092-2501, US
Phone (214) 668-6575
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA03950
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According to our database, Amy L Nicholas PA NPI is 1811983174, taxonomy code is 363AM0700X and license number is PA03950, license state is located at Texas. Amy L Nicholas PA physically located at 3450 W Wheatland Rd Ste 245, Dallas TX, 75237-4429. NPI Number Amy L Nicholas PA has the Individual type.

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1811983174 NPI number is provided on an as is basis without warranty of any kind. 1811983174 is maintained by the National Plan & Provider Enumeration System. The contents of Amy L Nicholas PA are for informational purposes only.