Michael Ernest Nicholas JR., PA

NPI #1275563637 in Irving, Texas

Provider Information

NPI Number: 1275563637
Entity Type: Individual
Name: Michael Ernest Nicholas JR., PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 3, 2006
Last Updated: Jun 20, 2016

Practice Location

Address: 3014 N. O CONNOR
Address 2: SUITE 110
City: Irving
State: Texas
ZIP Code: 75062-4415
Phone: (214) 277-3404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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