Dr. Brent G Nick
Pediatrician Adolescent Medicine
801 E Whitestone Blvd Ste C
Cedar Park
, Texas 78613-7558
Dr. Brent G Nick
Pediatrician Adolescent Medicine
801 E Whitestone Blvd Ste C
Cedar Park
, Texas 78613-7558
(512) 406-6216
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Brent G Nick
- 6210 E Highway 290
- Austin, TX
- Zip : 78723-1142
- Fax : (512) 406-6216
- Phone : (512) 483-9596
Second Address
- Dr. Brent G Nick
- 801 E Whitestone Blvd Ste C
- Cedar Park, TX
- Zip : 78613-7558
- Phone : (512) 259-3467
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | Q8978 | TX |
| N | 2080A0000X | Adolescent Medicine | 019461 | LA |
National Provider Identifier
| NPI | 1023019205 |
|---|---|
| Provider Name | Dr. Brent G Nick |
| First Address | Austin, TX 78723-1142 |
| Second Address | Cedar Park, TX 78613-7558 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 22/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 049405602 | (05) | TX |
| 049405603 | (05) | TX |
| 1901806 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.