Individual
MRS. ERICA FERGUSON HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 MERCANTILE PLAZA DR STE 204, FORT WORTH, TX 76137-4225
(949) 891-0328
Mailing address
3609 ROGERS AVE, FORT WORTH, TX 76109-2930
(913) 961-7282
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
843286
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1011769
TX
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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