Provider Demographics
NPI:1164674628
Name:NICOLA, GABRIELA (MD)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:NICOLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:25282 NORTHWEST FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1081
Mailing Address - Country:US
Mailing Address - Phone:281-737-2165
Mailing Address - Fax:281-304-0085
Practice Address - Street 1:25282 NORTHWEST FWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1081
Practice Address - Country:US
Practice Address - Phone:281-737-2165
Practice Address - Fax:281-304-0085
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7852207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX357828801Medicaid
TX8FW298OtherBCBS
TX488215ZSVEMedicare PIN