Mario George Nicolas, PH.D

Psychologist · Jbsa Lackland, TX

Individual Active NPI

NPI number 1043380116

Practice location

1100 Wilford Hall Loop, Bldg 4554
Attn: 59 MDW/SGHC
Jbsa Lackland, TX 78236
Phone
(210) 292-6225

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NPI record

NPI
1043380116
Entity type
Individual (Type 1)
Enumeration date
November 8, 2006
Last updated
August 25, 2023
Certified
August 25, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 37499 TX

Mailing address

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone
(210) 292-6225

Other practice locations (1)

  • 1100 Wilford Hall Loop, BLDG 4554, Attn: 59 MDW/SGHC, JBSA Lackland, TX 78236 · (210) 292-6225

About Dr. Nicolas

Mario George Nicolas, PH.D is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 MDW/SGHC, Jbsa Lackland, TX 78236. The NPI number 1043380116 was assigned on November 8, 2006 and the record was last updated on August 25, 2023.

Dr. Nicolas lists a license in the registry: #37499 (TX) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mario George Nicolas, PH.D?

The NPI number is 1043380116.

What is the phone number of Dr. Nicolas?

The phone number listed for the practice location is (210) 292-6225.

Where is Dr. Nicolas located?

1100 Wilford Hall Loop, Bldg 4554, Attn: 59 MDW/SGHC, Jbsa Lackland, TX 78236.

What is the taxonomy code for Dr. Nicolas?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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