Individual
JEAN CAROL HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1589 CR 2954, ALBA, TX 75410
(903) 474-7210
Mailing address
PO BOX 308, GOLDEN, TX 75444-0308
(903) 474-7210
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP00076257
TX
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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