Individual
SARA B. WICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
5201 HARRY HINES BLVD, MEDICAL STAFF SERVICES, DALLAS, TX 75235-7708
(214) 590-8006
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
(214) 590-4105
(214) 590-4162
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
440004
TX
Other
Enumeration date
07/27/2005
Last updated
07/09/2007
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