Individual
MARK LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 GESSNER RD, #280, HOUSTON, TX 77024-2527
(713) 461-2626
(713) 984-1703
Mailing address
14140 SOUTHWEST FWY STE 200, SUGAR LAND, TX 77478-3842
(281) 649-7000
(713) 484-6649
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
H3922
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116661302
—
TX
01
—
TXB166198
MEDICARE - GROUP
TX
Enumeration date
11/29/2005
Last updated
10/21/2019
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