Healthcare Provider Details

I. General information

NPI: 1871149005
Provider Name (Legal Business Name): NICOLAS SAMUEL FINK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 UNIVERSITY BLVD
ROUND ROCK TX
78665-1032
US

IV. Provider business mailing address

300 UNIVERSITY BLVD
ROUND ROCK TX
78665-1032
US

V. Phone/Fax

Practice location:
  • Phone: 512-509-0100
  • Fax:
Mailing address:
  • Phone: 512-509-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberW6230
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: