Provider Demographics
NPI:1306865456
Name:FIORE, NICHOLAS A II (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:A
Last Name:FIORE
Suffix:II
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11307 FM 1960 RD W
Mailing Address - Street 2:SUITE 270
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3687
Mailing Address - Country:US
Mailing Address - Phone:281-970-8002
Mailing Address - Fax:281-970-8770
Practice Address - Street 1:11307 FM 1960 RD W
Practice Address - Street 2:SUITE 270
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3687
Practice Address - Country:US
Practice Address - Phone:281-970-8002
Practice Address - Fax:281-970-8770
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM35442082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183538104Medicaid
TX8AV210OtherBLUE CROSS BLUE SHIELD
TX183538104Medicaid
TX8F6908Medicare PIN