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Contact Information

NIKOLAS MENDRYGAL, MD
7777 FOREST LANE
DALLAS, TX75230
 Phone: 972-248-3017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NIKOLAS MENDRYGAL · (Male)

NPI Number 1063455905
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 07/01/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TX License # M3017
  • TX Medicaid 184396301
  • TX Medicaid 184396302
  • TX Other 8V3528 BCBS
  • TX Other P00386322 RAILROAD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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