| Dr Joe Daniel Nichols Jr, MD | |
|
1011 South William, Atlanta, TX 75551-3245 | |
| (903) 796-2868 | |
| (903) 796-0826 |
| Full Name | Dr Joe Daniel Nichols Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1011 South William, Atlanta, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619080561 | NPI | - | NPPES |
| 123277903 | Medicaid | TX | |
| 118076 | Other | CHIPS | |
| 080022253 | Other | MEDICARE RR | |
| 97276 | Other | AR | BCBS |
| 806052 | Other | TX | BCBS |
| A004 | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D3947 (Texas) | Primary |
| Entity Name | East Texas Border Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joe Daniel Nichols Jr, MD 1011 South William, Atlanta, TX 75551-3245 Ph: (903) 796-2868 | Dr Joe Daniel Nichols Jr, MD 1011 South William, Atlanta, TX 75551-3245 Ph: (903) 796-2868 |
Dr. Kristi Dawn Henderson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Dr. Edward Timothy Okelley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 South William, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Dr. Richard Leroy Hozdic Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N William St, Atlanta, TX 75551 Phone: 903-614-3630 Fax: 903-614-3525 | |
Dr. Matthew James Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 |