Individual
LATIA MICHELLE HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
17000 EL CAMINO REAL STE 204A, HOUSTON, TX 77058-2636
(832) 284-4328
(832) 219-8303
Mailing address
17000 EL CAMINO REAL STE 204A, HOUSTON, TX 77058-2636
(832) 284-4328
(832) 219-8303
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
794027
TX
363L00000X
Nurse Practitioner
794027
TX
363L00000X
Nurse Practitioner
Primary
AP122845
TX
Other
Enumeration date
03/04/2013
Last updated
04/14/2026
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