Wicks, Xaquita

Wicks, Xaquita is an sole proprietor health care provider with primary practice located at 2922B Mlk Jr Blvd , Dallas TX 75215-2321. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wicks, Xaquita can be contacted via phone (214) 708-2739.

Contact Information

Primary practice address
2922B Mlk Jr Blvd Dallas TX 75215-2321
Phone: (214) 708-2739
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1106498 Texas
Nursing Service Providers / General Practice 163WG0000X 847794 Texas

Profile Details

NPI number 1790214989
LBN Legal business name Wicks, Xaquita
Credentials FNP-C, MSN, BSN, RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2017
Last updated Jan 12th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790214989 NPPES
Texas Other 847794 NURSE LICENSE

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