Organization
ANDREAS C NIKOLAIDIS, MD, PA
Active
Other names
Andreas C Nikolaidis, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREAS C NIKOLAIDIS M.D. (ADMINISTRATOR)
(281) 354-5663
Entity
Organization
Contact information
Practice address
24375 FM 1314 RD, PORTER, TX 77365-4205
(281) 354-5663
(281) 354-1995
Mailing address
24375 FM 1314 RD, PO BOX 734, PORTER, TX 77365-4205
(281) 354-5663
(281) 354-1995
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L3042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151052101
—
TX
05
—
151052102
—
TX
05
—
151052103
—
TX
Enumeration date
04/05/2010
Last updated
04/05/2010
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