Nicole P Nuckols
SPECIALTY PHYSICIANS OF CENTRAL TEXAS


Address: 1305 Wonder World Dr, San Marcos, TX 78666-7541

Nicole P Nuckols (NPI# 1790099547, PAC ID# 5395939516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1790099547
PAC ID by PECOS 5395939516
Professional Enrollment ID I20101102000538
Full Name Nicole P Nuckols
Organization Legal Name SPECIALTY PHYSICIANS OF CENTRAL TEXAS
Address 1305 Wonder World Dr
San Marcos
TX 78666-7541
Gender F
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 1052495876
Number of Group Practice Members 26
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450272 CENTRAL TEXAS MEDICAL CENTER

Other Locations

Address Phone Organization
1305 Wonder World Dr, San Marcos, TX 78666-7541 SPECIALTY PHYSICIANS OF CENTRAL TEXAS
1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695 5123963911 SPECIALTY PHYSICIANS OF CENTRAL TEXAS
401 Broadway St, San Marcos, TX 78666-7771 5128055650 SPECIALTY PHYSICIANS OF CENTRAL TEXAS

Organization Information

Organization Legal Name SPECIALTY PHYSICIANS OF CENTRAL TEXAS
Physicians 31

Physicians with the same organization

Name Specialty Organization Address
Connie Pham Family Medicine Specialty Physicians of Central Texas 1920 Corporate Dr, Suite 208, San Marcos, TX 78666-6286
Gilbert Rodriguez Jr. Family Medicine Specialty Physicians of Central Texas 177 Kirkham Cir, Kyle, TX 78640-9708
Anna White Nurse Practitioner Specialty Physicians of Central Texas 1320 Wonder World Dr, Suite 101, San Marcos, TX 78666-7558
Eric W Price Family Medicine Specialty Physicians of Central Texas 201 Fm, 3237 Suite 111, Wimberley, TX 78676-2119
Robert R Duran General Surgery Specialty Physicians of Central Texas 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695
James E Jankowski Physician Assistant Specialty Physicians of Central Texas 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695
Darcy D Sammons Nurse Practitioner Specialty Physicians of Central Texas 1305 Wonder World Dr, San Marcos, TX 78666-7541
Michael Montgomery Blair Otolaryngology Specialty Physicians of Central Texas 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695
Aminatu Akande Obstetrics/gynecology Specialty Physicians of Central Texas 1305 Wonder World Dr, Suite 300, San Marcos, TX 78666-7541
Jessica Camille Sanders Nurse Practitioner Specialty Physicians of Central Texas 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7695

Office Location

Street Address 1305 WONDER WORLD DR
City SAN MARCOS
State TX
Zip 78666-7541

Physicians in the same location

Name Specialty Organization Address
Juan F Quintana Certified Registered Nurse Anesthetist (crna) Youngs Professional Services LLC 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502
Darcy D Sammons Nurse Practitioner Specialty Physicians of Central Texas 1305 Wonder World Dr, San Marcos, TX 78666-7541
Virginia G Mckeon Certified Registered Nurse Anesthetist (crna) Youngs Professional Services LLC 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502
Sara K Browning Certified Registered Nurse Anesthetist (crna) Youngs Professional Services LLC 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502
Aminatu Akande Obstetrics/gynecology Specialty Physicians of Central Texas 1305 Wonder World Dr, Suite 300, San Marcos, TX 78666-7541
Diane M Phalen Podiatry 1305 Wonder World Dr, Suite 304, San Marcos, TX 78666-7542
Sandra Sears Physician Assistant Specialty Physicians of Central Texas 1305 Wonder World Dr, San Marcos, TX 78666-7541
Stephen W Felter Certified Registered Nurse Anesthetist (crna) Youngs Professional Services LLC 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502
Robert A Browning Certified Registered Nurse Anesthetist (crna) Youngs Professional Services LLC 1305 Wonder World Dr, Suite 105, San Marcos, TX 78666-7502
James K Baker Orthopedic Surgery 1305 Wonder World Dr, Suite 307, San Marcos, TX 78666-7542
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Physicians in the same zip code

Name Specialty Organization Address
Vivek C Yagnik Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Dan L Pong Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Giovanni G Millare Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Daniel G Bloom Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Mark Poag Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Kellan Michael Schallert Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Sandeep Shah Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Krishna Surapaneni Diagnostic Radiology Austin Radiological Association 1348 B Hwy 123 S, San Marcos, TX 78666
Patrick Dattore Clinical Psychologist 100 N Edward Gary St, Suite B Suite 103, San Marcos, TX 78666-0644
Donald Willis Urology 1601 Redwood Rd A, San Marcos, TX 78666-1423
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Competitor

Search similar physicians

City SAN MARCOS
Zip Code 78666
Specialty PHYSICIAN ASSISTANT
City + Specialty SAN MARCOS + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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