Vick, Katie M

Vick, Katie M is an individual health care provider with primary practice located at 301 E Ovilla Rd Suite 100, Red Oak TX 75154-3833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vick, Katie M can be contacted via phone (972) 617-5225.

Contact Information

Primary practice address
301 E Ovilla Rd Suite 100 Red Oak TX 75154-3833
Fax: (972) 617-7922
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X N8591 Texas

Profile Details

NPI number 1801189378
LBN Legal business name Vick, Katie M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2011
Last updated Jul 26th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801189378 NPPES
Texas Other 8CV089 BCBSTX
Texas MEDICAID 282215701 BCBSTX

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