Individual
GILES WESLEY VICK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 826-5600
(832) 825-5899
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 826-5600
(832) 825-5899
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
H1919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130256404
—
TX
Enumeration date
10/17/2006
Last updated
08/15/2008
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