Individual
CODY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 W CHERYL AVE, HURST, TX 76053-4906
(817) 253-2500
Mailing address
732 W CHERYL AVE, HURST, TX 76053-4906
(817) 253-2500
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT6248
TEXAS DEPARTMENT OF LICENSING AND REGULATION
TX
Enumeration date
02/23/2018
Last updated
02/23/2018
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