Organization
DONALD G NICHOLAS JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD GENE NICHOLAS JR. M.D. (OWNER)
(972) 224-9090
Entity
Organization
Contact information
Practice address
2701 PRINCE GEORGE AVE STE 100, DESOTO, TX 75115-2087
(972) 224-9090
(972) 224-9098
Mailing address
2701 PRINCE GEORGE AVE, SUITE 100, DESOTO, TX 75115-2087
(972) 224-9090
(972) 224-9098
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H1995
TX
Other
Enumeration date
07/09/2006
Last updated
10/06/2017
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