Individual
MR. MICKEY HICKS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 RENAISSANCE PL, CEDAR HILL, TX 75104-1766
(972) 639-2866
Mailing address
PO BOX 532, HUGHES SPRINGS, TX 75656-0532
(972) 639-2866
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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