Richard Vickers

NPI #1659579639 in Fort Worth, Texas

Provider Information

NPI Number: 1659579639
Entity Type: Individual
Name: Richard Vickers
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jul 11, 2007
Last Updated: May 20, 2025

Practice Location

Address: 7449 CANDLERIDGE CIR APT 909
City: Fort Worth
State: Texas
ZIP Code: 76133-6509
Phone: (817) 903-2515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary
Peer Specialist	175T00000X

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