# SAMMY VICK MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639360506
- **Authorized official:** DR. SAMMY VICK M.D. (PRESIDENT)
- **Authorized official phone:** (210) 616-0410

## Contact information

- **Practice address:** 8038 WURZBACH RD, SUITE 430, SAN ANTONIO, TX 78229-3817
- **Practice address phone:** (210) 616-0410
- **Practice address fax:** (210) 615-1295
- **Mailing address:** 8038 WURZBACH RD, SUITE 430, SAN ANTONIO, TX 78229-3817
- **Mailing address phone:** (210) 616-0410
- **Mailing address fax:** (210) 615-1295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | H8485 | TX | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/06/2007
