Individual
CANDIS M HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1300 W TERRELL AVE STE 320, FORT WORTH, TX 76104-2822
(817) 250-7360
Mailing address
1300 W TERRELL AVE STE 320, FORT WORTH, TX 76104-2822
(817) 250-7360
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP111164
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195670801
—
TX
01
—
842134
BCBS
TX
Enumeration date
12/29/2006
Last updated
05/17/2021
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