Individual
VICKIE CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPA-C, LSA, SA-C
Contact information
Practice address
2317 COBBLECREEK DR, CONROE, TX 77384-3703
(281) 541-8872
(331) 625-7932
Mailing address
2317 COBBLECREEK DR, CONROE, TX 77384-3703
(281) 541-8872
(331) 625-7932
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
LSA: SA00167
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/27/2005
Last updated
06/21/2017
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