Active NPI
Donald G Nicholas Jr MD
- General Practice Physician
- Desoto, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- H1995
- 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
- Last updated
- Oct 6, 2017
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | H1995 | TX | Primary |
Addresses
Primary practice location
2701 Prince George Ave Ste 100
Desoto, TX 75115-2087
Mailing address
2701 Prince George Ave, Suite 100
Desoto, TX 75115-2087
Phone (972) 224-9090
National Provider Directory
National Provider DirectoryLocations
2805 Prince George Ave
Desoto, TX 75115
Phone (972) 224-9090
901 N Polk St
Ste 303
Desoto, TX 75115
Phone (972) 224-9090
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Desoto, TX
- NPI 1245226950
-
- Family Medicine Physician
- Dallas, TX
- NPI 1043248156
-
- Medical Physician Assistant
- Mansfield, TX
- NPI 1083855936
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1265400816
-
- Medical Physician Assistant
- Duncanville, TX
- NPI 1831412600
-
- Medical Physician Assistant
- Muskogee, OK
- NPI 1205813136
NPI Registry JSON
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": []
}
Other providers in Desoto, TX
Sources for this page
- 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.