Individual
ROXANNE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3145 GARDEN AVE BLDG 1278, JBSA FORT SAM HOUSTON, SAN ANTONIO, TX 78234
(210) 808-3735
Mailing address
3145 GARDEN AVE BLDG 1278, JBSA FORT SAM HOUSTON, SAN ANTONIO, TX 78234
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9487
TX
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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