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CILLORA HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R890107
MS
367500000X
Certified Registered Nurse Anesthetist
130535
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP130535
TX

Other

Enumeration date
10/22/2015
Last updated
10/14/2024
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