Blake E Nichols, MD
Blake E Nichols, MD is a Pediatric Medicine in Fort Worth, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 2012, 14 years ago. Practices with Cook Childrens Physician Network, a 301-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 14
- Trained at
- University of Texas Southwestern Medical School at Dallas
- Licensed in
- TX
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
801 7th AveFort Worth, TX 76104-2733
Phone: (682) 885-7942
Fax: (682) 885-7956
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Critical Care Medicine Physician (primary) | Taxonomy 2080P0203X · Licence Q4480 (TX) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence Q4480 (TX) |
Record details
| NPI number | 1144583469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 21, 2012 |
| Last updated in NPPES | February 23, 2023 |
| Certification date | February 23, 2023 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Also practises | CRITICAL CARE (INTENSIVISTS) |
| Medical school | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduated | 2012 (14 years in practice) |
| Group practice | Cook Childrens Physician Network — 301 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Worth
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Dr. Errin Marie Newman, MD
1500 Cooper St, Fort Worth, TX 76104-2710 · (682) 885-6299
-
Lindsay D Newton Huggins, MD
801 7th Ave, Fort Worth, TX 76104-2733 · (682) 885-5001
-
Dr. Phuong Thi Nguyen, MD
801 7th Ave, Fort Worth, TX 76104-2733 · (682) 885-1475
-
Catherine Marie Nicholas, MD
4405 River Oaks Blvd, Fort Worth, TX 76114-2326 · (817) 624-1770
-
Stella-Maris Nnamani, MD, MPH
1325 Pennsylvania Ave, Fort Worth, TX 76104-2158 · (817) 250-5435
-
Tinuade Olukemi Okoro, MD
1729 8th Ave, Fort Worth, TX 76110-1349 · (682) 885-3301
-
Omar A. Gomez, MD, PA
6618 Fossil Bluff Dr Ste 116, Fort Worth, TX 76137-7533 · (817) 847-6420
-
Adebola Omotayo, MD
801 7th Ave, Fort Worth, TX 76104-2733 · (682) 885-1475