Most Relevant Information
Provider Data
| NPI Number: | 1003438540 |
| Provider Name: | NICHLOS ARLEN RICHARDSON PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 2136640 |
Most Important Dates
| Enumeration Date: | 05/06/2020 |
| Last Updated: | 05/06/2020 |
Provider Practice Location
110 CURTIS LN
HOWE
TX
754593698
Practice Location Phone/Fax
| Phone: | 7609126709 |
| Fax: |
Provider Mailing Location
110 CURTIS LN
HOWE
TX
754593698
Provider Mailing Phone/Fax
| Phone: | 7609126709 |
| Fax: |