Individual
DR. KARIN LARISSA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36000 DARNALL LOOP, MCHE-QD (CREDS), FORT HOOD, TX 76544-5095
(254) 288-8921
(254) 288-8712
Mailing address
1105 WAIMEA BND, ROUND ROCK, TX 78681-2379
(254) 288-8921
(254) 288-8712
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01056268A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01056268A
IN
207RP1001X
Pulmonary Disease Physician
Primary
01056268A
IN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
01056268A
IN
Other
Enumeration date
11/02/2005
Last updated
12/27/2021
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