Mr. Jerrell Hicks
Mr. Jerrell Hicks is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
1513 E Presidio StFort Worth, TX 76102
Phone: (682) 202-6162
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (TX) |
|---|
Record details
| NPI number | 1437885738 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 28, 2022 |
| Last updated in NPPES | July 28, 2022 |
| Certification date | July 28, 2022 |
| Mailing address | 2847 Walton Ave Apt 260, Fort Worth, TX 76133 |
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