Organization
TEAXAS MEDICAL RESULTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DANIEL NICHOLSON IV MD (SOLE MEMBER)
(972) 494-3100
Entity
Organization
Contact information
Practice address
1708 COIT RD STE 150, PLANO, TX 75075-6198
(214) 440-3007
(972) 608-0005
Mailing address
5500 DEMOCRACY DR STE 150, PLANO, TX 75024-4202
(214) 440-3007
(972) 608-0005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
L1953
TX
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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