Individual
NICOLE NIEHUES DACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3605 EXECUTIVE DR, SAN ANGELO, TX 76904-6884
(325) 747-2215
(325) 747-4551
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 747-4551
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
T8791
TX
Other
Enumeration date
03/18/2019
Last updated
09/07/2023
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