Individual
SHYLISA HICKS
Active
Individual
SHYLISA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
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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