Individual
DR. DAVID NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E8764
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135908504
CSHCN1
TX
05
—
135908505
—
TX
05
—
135908506
—
TX
01
—
135908507
CSHCN2
TX
01
—
300034064
RRMCARE
—
01
—
300127374
RRMCARE2
—
Enumeration date
06/10/2005
Last updated
01/12/2015
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