Individual
PATRICIA VICKERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RTD
Contact information
Practice address
909 NINTH AVE, SUITE 300, FORT WORTH, TX 76104
(817) 336-7191
(817) 332-3172
Mailing address
909 NINTH AVE, SUITE 300, FORT WORTH, TX 76104
(817) 336-7191
(817) 332-3172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT02980
TX
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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