Individual
SHYLISA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20403 FM 529 RD STE 200, CYPRESS, TX 77433-5379
(281) 656-4041
Mailing address
20403 FM 529 RD STE 200, CYPRESS, TX 77433-5379
(281) 656-4041
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
929193
TX
208000000X
Pediatrics Physician
1088788
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1088788
TX
Other
Enumeration date
10/23/2019
Last updated
01/13/2024
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