Individual
LISA MARIE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
2004 RUNNING BROOK LN, PEARLAND, TX 77584-6778
(832) 226-3265
Mailing address
2004 RUNNING BROOK LN, PEARLAND, TX 77584-6778
(832) 226-3265
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1873-0120
TX
Other
Enumeration date
01/25/2020
Last updated
01/25/2020
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