Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Katherine Marie Ivey-Vackar, MD

Individual provider Surgery Physician · NPI 1942437934

Dr. Katherine Marie Ivey-Vackar, MD is a Surgery Physician in San Antonio, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Nebraska and Texas.

Licensed in
NE, TX
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone: (210) 916-3334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 — (210) 292-7294

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence T2184 (TX)
Surgery Physician Taxonomy 208600000X · Licence 26179 (NE)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence T2184 (TX)

Record details

NPI number1942437934
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 17, 2009
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

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