Organization
AVERESS DEAN RICKERSON
Active
Other names
A VICKI RICKERSON
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVERESS DEAN RICKERSON MD (OWNER)
(210) 646-7227
Entity
Organization
Contact information
Practice address
8601 VILLAGE DR, 100, SAN ANTONIO, TX 78217-5509
(210) 646-7227
(210) 654-3575
Mailing address
8601 VILLAGE DR, 100, SAN ANTONIO, TX 78217-5509
(210) 646-7227
(210) 654-3575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G7575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031773001
—
TX
Enumeration date
07/10/2008
Last updated
07/10/2008
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