Organization
A.VICKI RICKERSON MD
Active
Organization
A.VICKI RICKERSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERESS VICKI RICKERSON M.D. (OWNER)
(210) 646-7227
Entity
Organization
Contact information
Practice address
8601 VILLAGE DR STE 100, SAN ANTONIO, TX 78217-5509
(210) 646-7227
(210) 654-3575
Mailing address
8601 VILLAGE DR STE 100, SAN ANTONIO, TX 78217-5509
(210) 646-7227
(210) 654-3575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
AP132396
TX
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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