Individual
JULIEANA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K9373
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158240501
—
TX
01
—
8F7509
BCBSTX
TX
01
—
P00021339
RAILROAD MEDICARE
TX
Enumeration date
06/05/2006
Last updated
03/28/2011
Update your record
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