Individual
DR. TYLER CLARE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5005 N. PIEDRAS ST., WILLIAM BEAUMONT ARMY MEDICAL CENTER ATTN: GME, EL PASO, TX 79920-5001
(915) 742-2597
(915) 742-6666
Mailing address
590 MEDICAL CENTER ROAD, FORT CAVAZOS, TX 76544
(614) 296-9993
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
72278-20
WI
207X00000X
Orthopaedic Surgery Physician
U7025
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2017
Last updated
08/20/2025
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