| NPI | 1619131463 |
|---|---|
| Doing Business As | A VICKI RICKERSON |
| Entity Type | Organization |
| Authorized Contact | AVERESS DEAN RICKERSON Owner 210-646-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G7575) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |