Individual
DR. COLTON DALE WICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15 EAST PLZ, PARIS, TX 75460-5841
(903) 784-6649
Mailing address
15 EAST PLZ, PARIS, TX 75460-5841
(903) 784-6649
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7734T
TX
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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