Individual
DR. BRIAN EMISON NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3612 23RD ST, 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
Primary
L9397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178560201
—
TX
Enumeration date
07/12/2005
Last updated
04/03/2014
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