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Individual

DR. THOMAS C. NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3612 23RD STREET, LUBBOCK, TX 79410-1326
(806) 793-8787
(806) 793-0150
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
89-82
NM
208800000X
Urology Physician
Primary
M9543
TX

Other

Enumeration date
12/15/2005
Last updated
04/03/2014
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