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NPI Code Detail

MEDICARE: NICHOLAS KING

MEDICARE: NICHOLAS KING
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1588293823
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS KING
Provider Business Mailing Address
First Line : 1222 DELANO ST
Second Line :
City : HOUSTON
State : TX
Zip : 77003-4523
Country : US
Telephone Number : 512-423-9233
Fax Number :
Provider Business Practice Location Address
First Line : 6410 FANNIN ST STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77030-5206
Country : US
Telephone Number : 832-325-7100
Fax Number : 713-512-2242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 06/07/2024

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Directions to “ NICHOLAS KING ” Practice Location

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