Individual
DR. SAMMY C. VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8038 WURZBACH RD, STE 430, SAN ANTONIO, TX 78229-3803
(210) 616-0410
(210) 615-1295
Mailing address
8038 WURZBACH RD, STE 430, SAN ANTONIO, TX 78229-3803
(210) 616-0410
(210) 615-1295
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H8485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117503603
—
TX
Enumeration date
06/14/2005
Last updated
03/24/2015
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