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

Crystal Nicholas, PA-C

Individual provider Physician Assistant · NPI 1174980932

Crystal Nicholas, PA-C is a Physician Assistant in Dallas, Texas. Qualified in 2015, 11 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone: (469) 852-5014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4000 E Renner Rd Apt 1028, Richardson, TX 75082-2732 — (520) 248-2733

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10407 (TX)

Record details

NPI number1174980932
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2016
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address5323 Harry Hines Blvd, Dallas, TX 75390-7201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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