Individual
DR. DONTE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2500 CIRCLE DR, FORT WORTH, TX 76119-8138
(817) 702-7340
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8418TG
TX
Other
Enumeration date
07/07/2014
Last updated
03/14/2019
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