| Donald G Nicholas Jr Md | |
|
2701 Prince George Ave Ste 100 Desoto TX 75115-2087 | |
| (972) 224-9090 | |
| (972) 224-9098 |
| Full Name | Donald G Nicholas Jr Md |
|---|---|
| Speciality | General Practice |
| Location | 2701 Prince George Ave Ste 100, Desoto, Texas |
| Authorized Official Name and Position | Donald Gene Nicholas (OWNER) |
| Authorized Official Contact | 9722249090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald G Nicholas Jr Md 2701 Prince George Ave, Suite 100 Desoto TX 75115-2087 Ph: (972) 224-9090 | Donald G Nicholas Jr Md 2701 Prince George Ave Ste 100 Desoto TX 75115-2087 Ph: (972) 224-9090 |
| NPI Number | 1770516817 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770516817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | H1995 (Texas) | Primary |
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