Hickory Texas, P.a.
NPI #1255220810 in Lakewood, New Jersey
Provider Information
- NPI Number
- 1255220810
- Entity Type
- Organization
- Organization Name
- Hickory Texas, P.a.
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 15 AMERICA AVE UNIT 103
- City
- Lakewood
- State
- New Jersey
- ZIP Code
- 08701-4583
- Phone
- (732) 631-4358
Authorized Official
- Name
- DANIEL OLIVERO
- Title
- OWNER
- Phone
- (732) 631-4358
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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