Jack D Vick, MD
Jack D Vick, MD is a Family Practice in Fort Sumner, New Mexico. Graduated from University of New Mexico School of Medicine in 1991, 35 years ago. Practices with De Baca Family Practice Clinic, a 3-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 35
- Trained at
- University of New Mexico School of Medicine
- Licensed in
- NM
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
546 N 10th StFort Sumner, NM 88119-0349
Phone: (575) 355-2414
Fax: (575) 355-7894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 92371 (NM) |
|---|
Record details
| NPI number | 1538242219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2006 |
| Last updated in NPPES | May 19, 2009 |
| Mailing address | Po Box 349, Fort Sumner, NM 88119-0349 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduated | 1991 (35 years in practice) |
| Group practice | De Baca Family Practice Clinic — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fort Sumner
-
Carolyn Kay Caraway, FNP
546 N 10th St, Fort Sumner, NM 88119-0349 · (575) 355-2414