MEDICARE: LONNIE LEE VICKERS MD

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
1	207Q00000X	Family Medicine Physician	G3881	TX

General Provider Information

NPI Number	:	1356327704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LONNIE LEE VICKERS MD

Provider Business Mailing Address
First Line	:	2010 NINE RD
Second Line	:
City	:	BRADY
State	:	TX
Zip	:	76825-7210
Country	:	US
Telephone Number	:	325-597-2114
Fax Number	:	325-597-2155

Provider Business Practice Location Address
First Line	:	2010 NINE RD
Second Line	:
City	:	BRADY
State	:	TX
Zip	:	76825-7210
Country	:	US
Telephone Number	:	325-597-2114
Fax Number	:	325-597-2155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	06/28/2010

Similar Medicare Providers

1780677179 — DR. FREDERICK CARL MCDONOUGH D.O.
Practice Location Address:

2010 NINE RD
BRADY, TX
76825-7210

Practice Phone: 325-597-2114
Practice Fax: 325-597-2155

1033108485 — MICHAEL EDGAR NESBITT PA
Practice Location Address:

2008 NINE RD
BRADY, TX
76825-7210

Practice Phone: 210-602-6719
Practice Fax:

1891770749 — MARK L HEDLUND M.D.
Practice Location Address:

2008 NINE RD
BRADY, TX
76825-7210

Practice Phone: 325-597-2901
Practice Fax:

1811973266 — MARION JO KITSMILLER PA
Practice Location Address:

2010 NINE RD
BRADY, TX
76825-7210

Practice Phone: 325-597-2114
Practice Fax: 325-597-2155

1457337800 — HEART OF TEXAS HEALTHCARE SYSTEM
Practice Location Address:

2010 NINE RD
BRADY, TX
76825-7210

Practice Phone: 325-597-2114
Practice Fax: 325-597-2155

1558349399 — HEART OF TEXAS HEALTHCARE SYSTEM
Practice Location Address:

2008 NINE RD
BRADY, TX
76825-7210

Practice Phone: 325-597-2901
Practice Fax: 325-597-2280

Directions to “ LONNIE LEE VICKERS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.