Individual
CRYSTAL NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-5202
(469) 852-5014
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(469) 852-5014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10407
TX
Other
Enumeration date
01/25/2016
Last updated
07/17/2025
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