Individual
ASHLEY NICOLE NICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 UNIVERSITY BLVD, GALVESTON, TX 77550-5552
(409) 747-5800
Mailing address
2900 N BRAESWOOD BLVD APT 2219, HOUSTON, TX 77025-2352
(214) 274-6665
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
48513
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
10/16/2024
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