Individual
DR. GREGORY A. NIKOLAIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8825 BEE CAVE RD, SUITE 100, AUSTIN, TX 78746-4719
(512) 328-3376
(512) 399-6895
Mailing address
8825 BEE CAVE RD, SUITE 100, AUSTIN, TX 78746-4719
(512) 328-3376
(512) 666-3767
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L3414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8347B6
BCBS OF TEXAS INDIVIDUAL #
TX
Enumeration date
02/06/2006
Last updated
02/06/2019
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