Individual
MRS. DEBORAH DELEE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2935 PARK PLAZA LN, PORT ARTHUR, TX 77642-5516
(409) 985-2529
(409) 985-3565
Mailing address
2935 PARK PLAZA LN, PORT ARTHUR, TX 77642-5516
(409) 985-2529
(409) 985-3565
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
50489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112785401
—
TX
Enumeration date
04/23/2008
Last updated
01/31/2011
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