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Nicky Underwood

  • Female

Medical Specialty

Professional ID

  • NPI: 1245770197
  • PECOS ID: 6901182138
  • Enrollment ID: I20170424001257
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 2004

Medical Practices

  • Organization Name: Ut Physicians
  • Group Practice ID assigned by PECOS: 8426960360
  • Number of Group Practice member: 1308

Location

  • Address1: 3610 Stagg Dr
  • Address2:
  • City: Beaumont
  • State: Texas
  • Zip Code: 77701
  • Phone Number: (713)486-2700

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):