Individual
NICOLE RENEE PITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4200 W UNIVERSITY DR FL 2, PROSPER, TX 75078-9805
(682) 303-4200
(682) 303-4242
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
OS16539
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
S9777
TX
390200000X
Student in an Organized Health Care Education/Training Program
OT017151
PA
Other
Enumeration date
05/26/2016
Last updated
05/26/2021
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