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Revell Hicks, RRT, MBA

NPI 1568652923 · on the registry since 2007

Practice

Address
2312 Comanche Trl
Grand Prairie, TX 75052
Phone
(817) 652-2632
Organisation at this address
Americorf,Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2279C0205X
2279C0205X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-10-11

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