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Individual

CAROL HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1324 FM 1969, AVINGER, TX 75630-7802
(469) 690-0093
Mailing address
1324 FM 1969, AVINGER, TX 75630-7802
(469) 690-0093

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
NYP6476
TX

Other

Enumeration date
03/27/2023
Last updated
03/27/2023
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