Donald G Nicholas Jr MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

H1995 Issued in TX

Legal business name

DONALD G NICHOLAS JR MD

Practice address

2701 Prince George Ave Ste 100
Desoto, TX 75115-2087

Phone

(972) 224-9090

Fax

(972) 224-9098

NPI assigned

Jul 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donald Gene Nicholas Jr., M.D.

Title

Owner

Phone

(972) 224-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adeola B Darden, M.D.

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1043248156
  NPD (past)
• Tzietal Gail Davidson, P.A.-C

  • Medical Physician Assistant
  • Mansfield, TX
  • NPI 1083855936
  NPD (past)
• Rex S Moss, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1265400816
  NPD (past)
• Erika Ann Weeks, P.A.

  • Medical Physician Assistant
  • Duncanville, TX
  • NPI 1831412600
  NPD (past)
• Joyce Ellen Dorsey, P.A.

  • Medical Physician Assistant
  • Muskogee, OK
  • NPI 1205813136
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507248000000",
    "number": "1770516817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PRINCE GEORGE AVE, SUITE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152087",
            "telephone_number": "972-224-9090",
            "fax_number": "972-224-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PRINCE GEORGE AVE STE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152087",
            "telephone_number": "972-224-9090",
            "fax_number": "972-224-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD G NICHOLAS JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-10-06",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-224-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "H1995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Divine Boyd Enterprise LLC
• Divine Care
• Divine Heritage Health Home Care Agency LLC
• Catherine L Dixon, NP
• DLB Pharmacy LLC
• Jacqueline Dorsey
• Herlonda Dotson, LPC, CCM
• Dr Candace Martin
• Dr Charles a Foster
• Dr. Beatrice B. Kilguss DC

• General Practice Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.