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Organization

DAVID C.S. NICKESON, M.D., P.A.

Active
Other names
Mainland Pulmonary Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID C.S. NICKESON M.D. (PRESIDENT)
(409) 935-2995
Entity
Organization

Contact information

Practice address
6807 EMMETT F LOWRY EXPY, SUITE 303, TEXAS CITY, TX 77591-2546
(409) 935-2995
(409) 935-3433
Mailing address
6807 EMMETT F LOWRY EXPY, SUITE 303, TEXAS CITY, TX 77591-2546
(409) 935-2995
(409) 935-3433

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
169922501
TX
Enumeration date
04/19/2007
Last updated
10/22/2008
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