Nick, Brent G

Nick, Brent G is an individual health care provider with primary practice located at 801 E Whitestone Blvd Ste C , Cedar Park TX 78613-7558. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Nick, Brent G can be contacted via phone (512) 259-3467.

Contact Information

Primary practice address
801 E Whitestone Blvd Ste C Cedar Park TX 78613-7558
Phone: (512) 259-3467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 019461 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q8978 Texas

Profile Details

NPI number 1023019205
LBN Legal business name Nick, Brent G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 22nd, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023019205 NPPES
Texas MEDICAID 049405603
Texas MEDICAID 1901806
Texas MEDICAID 049405602

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