Dr. Richard Alan Nichols, PA DPM
Podiatrist in Grapevine, TX. Individual provider (NPI-1).
NPI number1619082294
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1619082294
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Alan Nichols
- Credential
- PA DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 917 | TX | Yes |
Practice location
1600 Lancaster DrSuite 102
Grapevine, TX 76051-3579
Phone 817-481-4000 · Fax 817-421-0732
Mailing address
1600 LancasterSuite 102
Grapevine, TX 76051
Phone 817-481-4000 · Fax 817-421-0732
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Podiatrist providers in Grapevine, TX
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.