Individual
JOE A VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3602 FM 1840, NEW BOSTON, TX 75570-5427
(903) 628-6919
Mailing address
3602 FM 1840, NEW BOSTON, TX 75570-5427
(903) 628-6919
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA10069070
TX
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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