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NPI Code Detail

MEDICARE: DR. NICOLAS PHOEBUS XYDAS M.D.

MEDICARE:  DR. NICOLAS PHOEBUS XYDAS  M.D.
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
1207VG0400XGynecology PhysicianJ7734TX

General Provider Information

NPI Number : 1922034669
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLAS PHOEBUS XYDAS M.D.
Provider Business Mailing Address
First Line : 6500 NORTH FWY #110
Second Line :
City : HOUSTON
State : TX
Zip : 77076-2941
Country : US
Telephone Number : 713-695-0002
Fax Number : 713-695-0101
Provider Business Practice Location Address
First Line : 6500 NORTH FWY
Second Line :
City : HOUSTON
State : TX
Zip : 77076-2941
Country : US
Telephone Number : 713-695-0002
Fax Number : 713-695-0101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. NICOLAS PHOEBUS XYDAS M.D.” Practice Location

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