Individual
MATTHEW NICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2790 SW WILSHIRE BLVD, BURLESON, TX 76028-8338
(817) 484-2020
Mailing address
2790 SW WILSHIRE BLVD, BURLESON, TX 76028-8338
(817) 484-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
1821593955
TX
207W00000X
Ophthalmology Physician
T4234
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP10064044
PHYSICIAN IN TRAINING LICENSE
TX
Enumeration date
03/29/2018
Last updated
03/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us