SearchNew Mexico374U00000X

Ronnie Hicks

NPI 1396168548 · on the registry since 2014 · sole proprietor

Practice

Address
9600 Central Ave Sw Trlr 148
Albuquerque, NM 87121
Phone
(562) 507-5687

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
171M00000X
225X00000X
235500000X
172A00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico