Individual
VICKIE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1213 SABINE ST, AUSTIN, TX 78701-1917
(512) 854-9599
Mailing address
PO BOX 1748, AUSTIN, TX 78767-1748
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
N2884
TX
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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