Nicolas Austin Broadway
Nicolas Austin Broadway is a Student in an Organized Health Care Education/Training Program in Mansfield, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
Mansfield, TXNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 41645 (TX) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1841187499 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2025 |
| Last updated in NPPES | July 7, 2025 |
| Certification date | July 7, 2025 |
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