MEDICARE: NICHOLAS CHRISTIAN FERRARO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	R5861	TX

General Provider Information

NPI Number	:	1457644205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS CHRISTIAN FERRARO MD

Provider Business Mailing Address
First Line	:	2600 NETWORK BLVD STE 520
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-6016
Country	:	US
Telephone Number	:	972-928-7070
Fax Number	:	972-786-0142

Provider Business Practice Location Address
First Line	:	2600 NETWORK BLVD STE 520
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-6016
Country	:	US
Telephone Number	:	972-928-7070
Fax Number	:	972-786-0142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2011
Last Update Date	:	08/13/2024

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