Individual
DR. SCOTT D LICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-0817
(409) 772-0885
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 772-0817
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
J7051
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
J7051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124871803
—
TX
Enumeration date
09/22/2006
Last updated
08/19/2025
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