Organization
GNC MEDICAL, PA
Active
Parent organization
GNC MEDICAL, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GNC MEDICAL, PA
Authorized official
MR. WILLIAM D. NICHOLSON IV M.D. (PRESIDENT)
(972) 494-3100
Entity
Organization
Contact information
Practice address
5500 DEMOCRACY DR., SUITE 150, PLANO, TX 75024
(972) 494-3100
(972) 608-0005
Mailing address
5500 DEMOCRACY DR., SUITE 150, PLANO, TX 75024
(972) 494-3100
(972) 608-0005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
TX
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
03/18/2013
Last updated
11/16/2016
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