Vickie Sue Broderick in Galveston - Medical
Vickie Sue Broderick - NPI 1700902665
Vickie Sue Broderick is a Medical in Galveston, Texas. Vickie Sue Broderick practices all healthcare services and medical treatments related to Medical. The NPI Number for Vickie Sue Broderick is 1700902665. The last update date is 2009-05-18.
Vickie Sue Broderick's current location address is 301 University Blvd, Galveston, Texas. You can contact this provider via phone number 4097722222. The mailing address for Vickie Sue Broderick is 301 University Blvd, Galveston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vickie Sue Broderick |
|---|---|
| Address | 301 University Blvd, Galveston, Texas |
| Phone Number | 4097722222 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1700902665 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2009-05-18 |
Provider Mailing Address Detail
| Address | 301 University Blvd |
|---|---|
| City | Galveston |
| State | Texas (TX) |
| Post Code | 775555302 |
| Phone Number | 4097722222 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00728 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181081401 | TX | -- |
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What is the unique 10-digit identifier code issued to Vickie Sue Broderick by the Centers for Medicare & Medicaid Services?
The Vickie Sue Broderick has been assigned the NPI (National Provider Identifier) 1700902665 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Vickie Sue Broderick's physical address?
The Vickie Sue Broderick is physically located at 301 University Blvd, in the city of Galveston, TX, with the postal code 775555302.
What is the Vickie Sue Broderick's specialty and taxonomy code?
The Vickie Sue Broderick's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When did the Vickie Sue Broderick receive its 1700902665?
The Vickie Sue Broderick was issued its 1700902665 on 2007-03-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Vickie Sue Broderick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Vickie Sue Broderick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-05-18.