Individual
CHEDRICK RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 LAVENDER LN, FLOWER MOUND, TX 75028-7213
(972) 481-0826
Mailing address
2121 LAVENDER LN, FLOWER MOUND, TX 75028-7213
(972) 481-0826
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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