Organization
NEXT STEP ORTHOPEDICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE A NICKSON MD (OWNER)
(972) 547-0047
Entity
Organization
Contact information
Practice address
8865 SYNERGY DR, 101, MCKINNEY, TX 75070-6506
(972) 547-0047
(972) 547-0065
Mailing address
8865 SYNERGY DR STE 101, MCKINNEY, TX 75070-6522
(972) 547-0047
(972) 547-0065
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6512550001
DME PTAN
TX
Enumeration date
01/26/2011
Last updated
05/05/2022
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