Individual
CODY A NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 WONDER WORLD DR STE 306, SAN MARCOS, TX 78666-7542
(512) 396-1000
(512) 353-2554
Mailing address
1305 WONDER WORLD DR STE 306, SAN MARCOS, TX 78666-7542
(512) 396-1000
(512) 353-2554
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1981
TX
Other
Enumeration date
07/06/2006
Last updated
10/25/2007
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