| Organization Name: | RICHARD A. NICHOLS D P M P A |
| NPI Number: | 1083804298 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD A NICHOLS (PHYSICIAN/PODIATRY) |
| Mailing Address: | 1600 Lancaster Dr Ste 102 Grapevine |
| State: | TX US |
| Postal Code: | 760513579 |
| Phone Number: | 8174814000 |
| Fax Number: | 8174210732 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 12/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |