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Contact Information

TAYLOR VICKERS, PA-C
9850 W ST LUKES DR
NAMPA, ID83687-7912
 Phone: 208-205-7282
 Fax: 208-205-7591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medical Technician, Basic

146N00000X
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TAYLOR VICKERS · (Male)

NPI # 1164046702
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/29/2020
Last updated 01/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • ID License # 4161079
  • TX License # 745200
  • TX License # PA13966
Hospital affiliation(s)
  • ST LUKES EPISCOPAL HOSPITAL - (Acute Care)
    6720 BERTNER
    HOUSTON, TX 77030
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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