| Organization Name: | RICHARD A NICHOLS, DPM, PA |
| NPI Number: | 1134455256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD A NICHOLS (PODIATRIST) |
| Mailing Address: | 1141 Keller Pkwy Suite C Keller |
| State: | TX US |
| Postal Code: | 762481627 |
| Phone Number: | 8177414800 |
| Fax Number: | 8177414840 |
| NPI Enumeration Date: | 10/23/2009 |
| NPI Last Update Date: | 03/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 917 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |