Individual
DR. NANCY ALCORN NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9515 FREDERICKSBURG RD, SAN ANTONIO, TX 78240-4216
(210) 699-6463
(210) 694-2972
Mailing address
11650 COUNTY ROAD 4215, TYLER, TX 75706-4646
(903) 253-8988
(309) 882-7571
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6463
TX
172V00000X
Community Health Worker
Primary
LIFE CERTIFICATION
TX
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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