Hicks, Candis M
Hicks, Candis M is an individual health care provider with primary practice located at 1300 W Terrell Ave Ste 320 , Fort Worth TX 76104-2822. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Hicks, Candis M can be contacted via phone (817) 250-7360.Contact Information
Primary practice address
1300 W Terrell Ave Ste 320
Fort Worth TX 76104-2822
Phone: (817) 250-7360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP111164 | Texas |
Profile Details
| NPI number | 1003972274 |
|---|---|
| LBN Legal business name | Hicks, Candis M |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | May 17th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003972274 | NPPES |
| Texas | MEDICAID | 195670801 | |
| Texas | Other | 842134 |
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