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 |