EDWARD WILSON NICKLAS

TEMPLE, TX
NPI1639138605
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: TX  K7464)
Additional Taxonomies207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: NC  200500090)
Enumeration Date2006-03-20
Last Update Date2024-09-19
Business Address
-- EDWARD WILSON NICKLAS MD
1605 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-215-0100
Mailing Address
-- EDWARD WILSON NICKLAS MD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-8800