MEDICARE: DR. KARIN LARISSA NICHOLSON 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	01056268A	IN
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	01056268A	IN
3	207R00000X	Internal Medicine Physician	01056268A	IN
4	207RP1001X	Pulmonary Disease Physician	01056268A	IN

General Provider Information

NPI Number	:	1871584540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIN LARISSA NICHOLSON MD

Provider Business Mailing Address
First Line	:	1105 WAIMEA BND
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-2379
Country	:	US
Telephone Number	:	254-288-8921
Fax Number	:	254-288-8712

Provider Business Practice Location Address
First Line	:	36000 DARNALL LOOP
Second Line	:	MCHE-QD (CREDS)
City	:	FORT HOOD
State	:	TX
Zip	:	76544-5095
Country	:	US
Telephone Number	:	254-288-8921
Fax Number	:	254-288-8712

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	12/27/2021

Similar Medicare Providers

1891447561 — SAMANTHA MARASA PHD, LP
Practice Location Address:

36000 DARNALL LOOP
FORT HOOD, TX
76544-5095

Practice Phone: 618-980-9026
Practice Fax:

1538166699 — DR. NANCY ANNE RADEBAUGH PHARMD
Practice Location Address:

36000 DARNALL LOOP
FORT HOOD, TX
76544-5095

Practice Phone: 254-286-7069
Practice Fax:

1477553220 — MS. YANIRA VAZQUEZ R.PH.
Practice Location Address:

36000 DARNALL LOOP , DARNALL ARMY COMMUNITY HOSPITAL, PHARMACY DEPT.
FORT HOOD, TX
76544-5095

Practice Phone: 254-286-7710
Practice Fax: 254-286-7171

1154323954 — DR. MICHAEL LOUIS BERGERON PHARM. D.
Practice Location Address:

36000 DARNALL LOOP
FORT HOOD, TX
76544-5095

Practice Phone: 254-288-4128
Practice Fax:

1902887383 — DR. JAMES GRANT MILLER JR. M.D.
Practice Location Address:

36000 DARNALL LOOP , CRDAMC
FORT HOOD, TX
76544-5095

Practice Phone: 254-288-8945
Practice Fax: 254-288-8924

1568442796 — DR. WESLEY B LUEG PHARMD
Practice Location Address:

36000 DARNALL LOOP
FORT HOOD, TX
76544-5095

Practice Phone: 254-288-8801
Practice Fax:

Directions to “ DR. KARIN LARISSA NICHOLSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.