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Latrinda Hicks
NPI 1477039568 · on the registry since 2018
Practice
- Address
- 2500 N Eastman Rd Apt 1141
Longview, TX 75605 - Phone
- (903) 315-9133
- Organisation at this address
- Madysen House Enterprises
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-12
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 Texas