Carol Hicks

NPI #1619671575 in Avinger, Texas

Provider Information

NPI Number: 1619671575
Entity Type: Individual
Name: Carol Hicks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Private Vehicle
Enumeration Date: Mar 27, 2023
Last Updated: Mar 27, 2023

Practice Location

Address: 1324 FM 1969
City: Avinger
State: Texas
ZIP Code: 75630-7802
Phone: (469) 690-0093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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