Individual
ROBERT HENDERSON NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
(214) 687-0001
Mailing address
1940 BERKELEY PL, FORT WORTH, TX 76110-1209
(817) 307-9633
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10047100
TX
207L00000X
Anesthesiology Physician
Primary
R3389
TX
Other
Enumeration date
05/31/2013
Last updated
06/05/2018
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