Provider Demographics
NPI:1205027323
Name:NG, VICKI S (MD)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:S
Last Name:NG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 BAYLOR PLZ # 610
Mailing Address - Street 2:BAYLOR COLLEGE OF MEDICINE MINIMALLY INVASIVE SURGEY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:617-798-7268
Mailing Address - Fax:
Practice Address - Street 1:1 BAYLOR PLZ # 610
Practice Address - Street 2:BAYLOR COLLEGE OF MEDICINE MINIMALLY INVASIVE SURGEY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:617-798-7268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAL-232635207V00000X
TXN9475207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB130391Medicare PIN