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Individual

DR. TYLER EDWARD HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
13924 CANTRELL RD STE C, LITTLE ROCK, AR 72223-1518
(501) 916-2585
(501) 916-2467
Mailing address
13924 CANTRELL RD STE C, LITTLE ROCK, AR 72223-1518
(501) 916-2585
(501) 916-2467

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
T16219
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264603718
AR
Enumeration date
03/08/2019
Last updated
04/21/2022
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