Individual
ANGELA L HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1524 S IH 35 STE 300, AUSTIN, TX 78704-2603
(512) 382-0222
Mailing address
1524 S IH 35 STE 300, AUSTIN, TX 78704-2603
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
334522
TX
Other
Enumeration date
04/23/2018
Last updated
04/24/2018
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