Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy D Nichols, M.d.p.a.

Organization Specialist · NPI 1376776187

Timothy D Nichols, M.d.p.a. is a Specialist in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009

Practice location Address checks out

12606 Greenville Ave Ste 160
Dallas, TX 75243-1921
Phone: (469) 364-7880
Fax: (469) 364-7895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence J1744 (TX)

Record details

NPI number1376776187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Nichols — Self · (940) 626-0059
NPI enumeratedAugust 26, 2009
Last updated in NPPESAugust 26, 2009
Mailing addressPo Box 797885, Dallas, TX 75379-7885

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