Individual
DAVID CHRISTIAN SWOPE NICKESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6807 EMMETT F LOWRY EXPRESSWAY, SUITE 303, TEXAS CITY, TX 77591-2543
(409) 935-2995
(409) 935-3433
Mailing address
6807 EMMETT F LOWRY EXPRESSWAY, SUITE 303, TEXAS CITY, TX 77591-2543
(409) 935-2995
(409) 935-3433
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
F3261
TX
207RP1001X
Pulmonary Disease Physician
Primary
F3261
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127944006
—
TX
01
—
8R3390
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/03/2006
Last updated
08/25/2020
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