Individual
CHARLES NIZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 PINE ST, TEXARKANA, TX 75501-5100
(903) 798-8887
Mailing address
2815 KINGS FOREST DR, KINGWOOD, TX 77339-2450
(281) 359-3314
(214) 712-2487
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E18041
TX
Other
Enumeration date
06/06/2006
Last updated
07/09/2007
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