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Contact Information

DOMINIQUE A NICKSON, MD
8876 SYNERGY DR
SUITE 100
MCKINNEY, TX75070-1276
 Phone: 972-547-0047
 Fax: 877-400-6329
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DOMINIQUE A NICKSON · (Male)

NPI # 1548211634
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2006
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # L8866
  • TX Medicaid 285510801
  • Other P00658084 RAILROAD MEDICARE
  • Other 2454999 UNITED HEALTHCARE
  • TX Other 6512550001 DME PTAN
  • TX Other L8866 LICENSE
  • TX Other TXB128126 MEDICARE PTAN
  • TX Other P01047820 RAILROAD MEDICARE PTAN
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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