Hicks, Candace

Hicks, Candace is an individual health care provider with primary practice located at 3601 4Th St Suite 2A300, Lubbock TX 79430-0002. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Hicks, Candace can be contacted via phone (806) 743-5678.

Contact Information

Primary practice address
3601 4Th St Suite 2A300 Lubbock TX 79430-0002
Phone: (806) 743-5678
Fax: (806) 743-5670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 51432 Texas

Profile Details

NPI number 1043298912
LBN Legal business name Hicks, Candace
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2006
Last updated Nov 19th, 2021 - about 4 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 1043298912 NPPES
Oklahoma MEDICAID 100650860A
Oklahoma MEDICAID 144207101
Oklahoma MEDICAID A4832
Oklahoma Other 201032260
Oklahoma MEDICAID 201032260
Oklahoma Other 80353A
Oklahoma Other 87794Z
Oklahoma Other A511

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