Organization
MARY ANN NICKERSON MD FACOG PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN NICKERSON MD (PRESIDENT)
(915) 532-6552
Entity
Organization
Contact information
Practice address
1700 CURIE DR, STE 3600, EL PASO, TX 79902-2905
(915) 532-6552
(915) 542-3329
Mailing address
907 E BALTIMORE DR, EL PASO, TX 79902-2423
(915) 532-6552
(915) 542-3329
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
F6997
TX
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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