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Contact Information

TED M. NICKLAUS
101 WALLACE BLVD
AMARILLO, TX79106
 Phone: 806-355-7453
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for TED M. NICKLAUS

NPI Number 1699964098
LBN Legal business name TED M. NICKLAUS
Authorized official CONSTANCE KLAGGE - (MEDICAL RECORDS ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2007
Last updated 11/03/2007 - About 19 years ago
Identifiers
TX License # D2283
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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