Shawnn D Nichols
Surgeon Surgical Oncologist
3551 Roger Brooke Dr Poc Ms Sylvia Liserio
Fort Sam Houston
, Texas 78234-4504
Shawnn D Nichols
Surgeon Surgical Oncologist
3551 Roger Brooke Dr Poc Ms Sylvia Liserio
Fort Sam Houston
, Texas 78234-4504
(210) 916-2202
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Shawnn D Nichols
- 3551 Roger Brooke Dr
- Fort Sam Houston, TX
- Zip : 78234-4504
- Fax : (210) 916-2202
- Phone : (210) 916-3334
Second Address
- Shawnn D Nichols
- 3551 Roger Brooke Dr Poc Ms Sylvia Liserio
- Fort Sam Houston, TX
- Zip : 78234-4504
- Fax : (210) 916-2202
- Phone : (210) 916-3334
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FAQs
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What is Shawnn D Nichols ’s gender?
Is Shawnn D Nichols a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 36084412 | OH |
| N | 208600000X | Surgeon | 36084412 | OH |
| Y | 2086X0206X | Surgical Oncologist | 35.084414 | OH |
National Provider Identifier
| NPI | 1164412094 |
|---|---|
| Provider Name | Shawnn D Nichols |
| First Address | Fort Sam Houston, TX 78234-4504 |
| Second Address | Fort Sam Houston, TX 78234-4504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/10/2005 |
| Last Update Date | 12/06/2019 |
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.