Individual
KATHERINE NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 809-6869
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 809-6869
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
#PA 08198
TX
Other
Enumeration date
08/28/2013
Last updated
01/14/2014
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