James Nichols M.D., FAAEM | Quality Care ER
The Quality Care ER in Paris was amazing and exceeded my expectations! I took my 4 year old in for worsening asthma symptoms and fever and tested positive for flu! The staff was Very caring and had my sweet girl feeling much better before we left! They gave her this Unicorn Elephant and she has been snuggled up to it since! Dr Marino was very compassionate and we had a great experience!

James Nichols, MD, FAAEM


  • 18 years experience in a Level 2 trauma center


  • 1983-87 B.S. Biology from Baylor University, Summa cum laude in Waco, Texas
  • 1987-91 UTSW Medical Center, Dallas, TX Doctor of Medicine
  • 1991-94 Residency at Carolinas Medical Center

Emergency Medicine Residency

  • 1994-98: Staff physician at Hillcrest Medical Center


Conveniently Located ER

Quality Care ER is conveniently located in Paris, TX, and open 24 hours a day / seven days a week including holidays.

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