Individual
EDWARD WILSON NICKLAS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 S 31ST ST, TEMPLE, TX 76508-0001
(254) 215-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
200500090
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
K7464
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900441
—
NC
Enumeration date
03/20/2006
Last updated
09/16/2025
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