NPI
Jack D Vick
NPI 1538242219
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2006-10-24
- Last updated
- 2009-05-19
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Specialties
Licenses
- License NM
- 92371
Location
- Practice location
- 546 N. 10th Street
- City
- Fort Sumner NM
- Postal code
- 88119-0349
- Phone
- (575) 355-2414
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fort Sumner, NM. 40 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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