Individual
VICKI LYNNE DISCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
18100 WEST RD, APT. 910, HOUSTON, TX 77095-3768
(570) 977-9109
Mailing address
18100 WEST ROAD, APT. 910, HOUSTON, TX 77095
(570) 977-9109
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
154792
PA
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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