AMY L NICHOLAS

GRAPEVINE, TX
NPI1811983174
Former NameAMY L HICKS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: TX  PA03950)
Enumeration Date2005-09-22
Last Update Date2020-08-26
Business Address
AMY L NICHOLAS PA
1650 W NORTHWEST HWY STE 200
GRAPEVINE, TX 76051-8122
Phone number: 972-716-3922
Mailing Address
AMY L NICHOLAS PA
3139 SOUTHLAKE PARK RD
SOUTHLAKE, TX 76092-2501
Phone number: 214-668-6575
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