| Organization Name: | ROXANE M. NICHOLS, MSIS, OTR, PLLC |
| NPI Number: | 1386874824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROXANE M NICHOLS (PRESIDENT) |
| Mailing Address: | 800 W Highway 290 Bldg B Dripping Springs |
| State: | TX US |
| Postal Code: | 786204191 |
| Phone Number: | 5128589000 |
| Fax Number: | 5128589001 |
| NPI Enumeration Date: | 07/17/2009 |
| NPI Last Update Date: | 07/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | 100743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |