Individual
MRS. VICKI L MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0204
(254) 743-0540
Mailing address
3002 CREASEY DR, TEMPLE, TX 76501-1418
(254) 773-5387
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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