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Individual

DR. KAYCIE MARIE HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5788 ECKHERT RD, SAN ANTONIO, TX 78240-3900
(210) 699-2278
Mailing address
7015 N FOREST CREST ST, SAN ANTONIO, TX 78240-3361
(918) 633-3010

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34773
TX

Other

Enumeration date
06/20/2011
Last updated
12/03/2013
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