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Glaster Hicks
NPI 1790444834 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5117 Rocky Ridge Rd
Dallas, TX 75241 - Phone
- (214) 434-1583
- Organisation at this address
- A Roosevelt Residential Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-16
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