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DAVID C.S. NICKESON M.D. P.A. NPI 1407073646


NPI Information

NPI: 1407073646
Provider Name: DAVID C.S. NICKESON, M.D., P.A.

Doing Business As: MAINLAND PULMONARY ASSOCIATES

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
6807 EMMETT F LOWRY EXPY
SUITE 303
TEXAS CITY, TX
ZIP 77591
Phone: (409) 935-2995
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DAVID C.S. NICKESON, M.D., P.A. is a pulmonary disease internal medicine in Texas City, TX. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DAVID C.S. NICKESON, M.D., P.A. NPI is 1407073646. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mainland Pulmonary Associates.

The provider's business location address is:

6807 EMMETT F LOWRY EXPY
SUITE 303
TEXAS CITY, TX
ZIP 77591-546
Phone: (409) 935-2995
Fax: (409) 935-3433

The provider's authorized official is David C.s. Nickeson .
The authorized official title is President and has the following contact phone number (409) 935-2995.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 10/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100679XMEDICARE PINTEXAS
2169922501MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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