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NPI Code Detail

MEDICARE: ERICA VICKERS NNP-BC

MEDICARE:   ERICA  VICKERS  NNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LN0000XNeonatal Nurse PractitionerAP145574TX

General Provider Information

NPI Number : 1154957744
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA VICKERS NNP-BC
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-215-9722
Provider Business Practice Location Address
First Line : 700 MEDICAL PKWY
Second Line :
City : BRENHAM
State : TX
Zip : 77833-5413
Country : US
Telephone Number : 979-337-5000
Fax Number : 979-830-2244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2020
Last Update Date : 02/03/2026

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Directions to “ ERICA VICKERS NNP-BC” Practice Location

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