Individual
MRS. DESEREE MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
8700 CROWNHILL BLVD STE 300, SAN ANTONIO, TX 78209-1128
(210) 824-5530
Mailing address
10630 BUCK PARK, SAN ANTONIO, TX 78245-3450
(210) 772-8087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
929941
TX
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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