Individual
DR. BRIAN KEITH NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2001 W FERGUSON RD, SUITE 2020, MT PLEASANT, TX 75455-2925
(903) 572-1991
(903) 572-4718
Mailing address
2001 W FERGUSON RD, SUITE 2020, MT PLEASANT, TX 75455-2925
(903) 572-1991
(903) 572-4718
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5439TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199333901
—
TX
Enumeration date
04/14/2006
Last updated
06/29/2009
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