Individual
NICHOLAS ADAM MEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 E CLINTON AVE, ATHENS, TX 75751-3405
(903) 292-5115
Mailing address
307 E CLINTON AVE, ATHENS, TX 75751-3405
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24965
TX
Other
Enumeration date
07/10/2009
Last updated
05/13/2016
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