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Organization

RICHARD A NICHOLS, DPM, PA

Active
Other names
ALLIANCE FOOT & ANKLE SPECIALISTS
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A NICHOLS DPM (PODIATRIST)
81748140000
Entity
Organization

Contact information

Practice address
1141 KELLER PKWY, SUITE C, KELLER, TX 76248-1627
(817) 741-4800
(817) 741-4840
Mailing address
1600 LANCASTER DR, SUITE 102, GRAPEVINE, TX 76051-3579
(817) 481-4000
(817) 421-0732

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
917
TX
213ES0000X
Sports Medicine Podiatrist
917
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
917
TX

Other

Enumeration date
10/23/2009
Last updated
03/18/2010
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