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Blake E Nichols

Pediatrician Pediatric Critical Care Doctor

1935 Medical District Dr
Dallas , Texas 75235

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Blake E Nichols

Pediatrician Pediatric Critical Care Doctor

1935 Medical District Dr
Dallas , Texas 75235

Write a Review Save Call

Blake E Nichols

Pediatrician Pediatric Critical Care Doctor

1935 Medical District Dr
Dallas , Texas 75235

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Pediatric Critical Care Doctor

Languages spoken

  • English

Location

1935 Medical District Dr Dallas , Texas 75235

First Address

  • Blake E Nichols
  • 1935 Medical District Dr
  • Dallas, TX
  • Zip : 75235-7701
  • Phone :

Second Address

  • Blake E Nichols
  • 1935 Medical District Dr
  • Dallas, TX
  • Zip : 75235
  • Phone : (214) 456-7000

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FAQs


Where did Blake E Nichols attend graduate school?

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Where did Blake E Nichols do his residency?

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Where did Blake E Nichols do his fellowship?

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Is Blake E Nichols board certified?

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What type of doctor is Blake E Nichols

Pediatric Critical Care Doctor

In what state does Blake E Nichols practice in?

Texas

Where is Blake E Nichols ’s practice located?

1935 Medical District Dr , Dallas, Texas, 75235

What is Blake E Nichols ’s gender?

Male

Is Blake E Nichols a sole practitioner?

No

Is Blake E Nichols accepting new patients?

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What languages does Blake E Nichols speak?

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Does Blake E Nichols accept insurance?

Yes, Blake E Nichols accepts insurance

Does Blake E Nichols offers telemedicine?

Blake E Nichols has not indicated if he offers telemedicine

What is Blake E Nichols ’s professional license number?

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What is Blake E Nichols ’s NPI number?

1144583469

Does Blake E Nichols have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician Q4480 TX
Y 2080P0203X Pediatric Critical Care Doctor Q4480 TX

National Provider Identifier

NPI 1144583469
Provider Name Blake E Nichols
First Address Dallas, TX 75235-7701
Second Address Dallas, TX 75235
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 21/06/2012
Last Update Date 13/08/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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