Amy Wicke PA-C

NPI 1568465722 - Physician Assistant - 363AM0700X

NPI Details
NPI 1568465722
Gender Female
Enumeration Date 05/23/2005
Last Updated 03/11/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
FALFURRIAS TX, 78355-5034, US
Phone (361) 325-9404
Fax (361) 325-9564
Business Location
204 E 1ST ST
ALICE TX, 78332-4822, US
Phone (361) 664-0145
Fax (361) 664-2248
Taxonomy Code 363AM0700X
License State Texas
License Number PA04282
Remove 1568465722 NPI Number

According to our database, Amy Wicke PA-C NPI is 1568465722, taxonomy code is 363AM0700X and license number is PA04282, license state is located at Texas. Amy Wicke PA-C physically located at 1302 S St Marys St, Falfurrias TX, 78355-5034. NPI Number Amy Wicke PA-C has the Individual type.

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1568465722 NPI number is provided on an as is basis without warranty of any kind. 1568465722 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Wicke PA-C are for informational purposes only.