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Contact Information

DAVID NICHOLS, MD
2018 PULLIAM ST
SAN ANGELO, TX76905
 Phone: 325-659-7290
 Fax: 325-659-7291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for DAVID NICHOLS · (Male)

NPI Number 1003951245
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2007
Last updated 10/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # N0321
  • TX Medicaid 203778902
  • TX Other N0321 LICENSE
Hospital affiliation(s)
  • SHANNON MEDICAL CENTER - (Acute Care)
    120 EAST HARRIS AVENUE
    SAN ANGELO, TX 76903
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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