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Contact Information

GARRETT L VICK
605 ENTERPRISE DR STE C
HOUMA, LA70360-5405
 Phone: 985-360-3755
 Fax: 985-879-4580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for GARRETT L VICK · (Male)

NPI # 1154708105
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2015
Last updated 01/22/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • LA License # 302659
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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