Individual
PHILIP R NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
2105 EAST MLK BLVD, #111, AUSTIN, TX 78702
(817) 995-8869
Mailing address
9227 HONEY MESQUITE, SEGUIN, TX 78155-3481
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT92453
TX
Other
Enumeration date
12/31/2025
Last updated
01/05/2026
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