Search › Texas › 103G00000X
Nicholas Wisdom, PH.D
NPI 1912260779 · on the registry since 2012
Practice
- Address
- 112 Magnolia Estates Dr
League City, TX 77573 - Phone
- (888) 606-0086
- Fax
- (346) 223-0296
- Organisation at this address
- Neurocognitive Specialty Group, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103G00000X
103TC0700X
103G00000X
103TC0700X
103TC0700X - Licence states on file
- FL, TX, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas