Individual
GINA ALLISON NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, EMERGENCY CENTER, HOUSTON, TX 77030-1608
(713) 873-7045
Mailing address
10264 BERMUDA DR, HOLLYWOOD, FL 33026-4636
(954) 593-1382
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BP10052952
TX
Other
Enumeration date
04/02/2014
Last updated
05/28/2015
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