Shacoya Branay Hicks
Specialist/Technologist, Athletic Trainer in Plano, TX. Individual provider (NPI-1).
NPI number1154774313
StatusActive
Last updated in NPPESJul 22, 2016
Details
- NPI
- 1154774313
- Entity type
- Individual (NPI-1)
- Name
- Shacoya Branay Hicks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2016
- Last updated
- Jul 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
9603 Custer Rd Apt 1626Plano, TX 75025-6519
Phone 214-404-0915
Mailing address
9603 Custer Rd Apt 1626Plano, TX 75025-6519
Phone 214-404-0915
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