Individual
DR. MEGAN HICKMAN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 456-0771
(214) 456-8132
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-0771
(214) 456-8132
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2010017750
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
P5738
TX
390200000X
Student in an Organized Health Care Education/Training Program
2007015916
MO
Other
Enumeration date
06/27/2007
Last updated
05/23/2013
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