DONALD G NICHOLAS JR MD NPI 1770516817

NPI Information

  • NPI: 1770516817
  • Provider Name: DONALD G NICHOLAS JR MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2701 PRINCE GEORGE AVE STE 100
    DESOTO, TX
    ZIP 75115
  • Phone: (972) 224-9090

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NPI Details

DONALD G NICHOLAS JR MD is a general practice in Desoto, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DONALD G NICHOLAS JR MD NPI is 1770516817. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 PRINCE GEORGE AVE STE 100
DESOTO, TX
ZIP 75115-087
Phone: (972) 224-9090
Fax: (972) 224-9098

The provider's authorized official is Donald Gene Nicholas .
The authorized official title is Owner and has the following contact phone number (972) 224-9090.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 10/6/2017.

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
1208D00000XGeneral PracticeH1995TEXASYes

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
100398RMEDICARE PINTEXAS

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: 11/21/2025

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