Individual
GARRETT DOUGLAS HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3000
Mailing address
4747 N 1ST ST STE 181, FRESNO, CA 93726-0517
(559) 978-9154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95011637
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002812
CA
Other
Enumeration date
07/10/2019
Last updated
02/03/2026
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