Nichols, Mark Lynn
Nichols, Mark Lynn is an individual health care provider with primary practice located at 915 Gessner Rd #280, Houston TX 77024-2527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as his primary health care specialty. Nichols, Mark Lynn can be contacted via phone (713) 461-2626.Contact Information
Primary practice address
915 Gessner Rd #280
Houston TX 77024-2527
Phone: (713) 461-2626
Fax: (713) 984-1703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | H3922 | Texas |
Profile Details
NPI number | 1215910732 |
---|---|
LBN Legal business name | Nichols, Mark Lynn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 29th, 2005 |
Last updated | Oct 21st, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215910732 | NPPES |
Texas | MEDICAID | 116661302 | |
Texas | Other | TXB166198 |
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