Mario George Nicolas in Jbsa Lackland - Psychologist
Mario George Nicolas - NPI 1043380116
Mario George Nicolas is a Psychologist in Jbsa Lackland, Texas. Mario George Nicolas practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mario George Nicolas is 1043380116. The last update date is 2023-08-25.
Mario George Nicolas's current location address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. You can contact this provider via phone number 2102926225. The mailing address for Mario George Nicolas is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mario George Nicolas |
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Address | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
Phone Number | 2102926225 |
Fax Number | |
Sole Proprietor | N |
Credentials | PH.D |
NPI Number Detail
NPI Number | 1043380116 |
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Provider Enumeration Date | 2006-11-08 |
Last Updated Date | 2023-08-25 |
Provider Mailing Address Detail
Address | 1100 Wilford Hall Loop Bldg 4554 |
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City | Jbsa Lackland |
State | Texas (TX) |
Post Code | 782365638 |
Phone Number | 2102926225 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 37499 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identifier code issued to Mario George Nicolas by the Centers for Medicare & Medicaid Services?
The Mario George Nicolas has been assigned the NPI (National Provider Identifier) 1043380116 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mario George Nicolas is physically located?
The Mario George Nicolas is physically situated at the following address: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 782365638.
What is Mario George Nicolas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mario George Nicolas is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1043380116 to Mario George Nicolas?
The Mario George Nicolas received its 1043380116 assignment from the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date was the information pertaining to Mario George Nicolas, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mario George Nicolas, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-08-25.
NPI Number: 1912900226
Address: 2151 S. Highway Alt. A1a, Suite 1500, Jupiter, FL