Individual
DAVID W NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
480 W SOUTHLAKE BLVD, STE 133, SOUTHLAKE, TX 76092-6162
(817) 329-9234
(817) 329-9239
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J6631
TX
Other
Enumeration date
10/26/2006
Last updated
04/30/2021
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