Dr. Tracy Hicks
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
102 Commander Dr Ste 9
Longview
, Texas 75605
Dr. Tracy Hicks
Nurse Practitioner - Family Medicine Nurse Practitioner - Community Health Nurse Practitioner - Psychiatric/Mental Health
102 Commander Dr Ste 9
Longview
, Texas 75605
(903) 234-8755
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About
Features
Specialties
- Nurse Practitioner - Community Health
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Dr. Tracy Hicks
- 618 N High St Ste 4
- Longview, TX
- Zip : 75601-5377
- Phone : (903) 234-8755
Second Address
- Dr. Tracy Hicks
- 102 Commander Dr Ste 9
- Longview, TX
- Zip : 75605
- Fax : (903) 234-8776
- Phone : (903) 234-8755
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 705910 | TX |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | AP125290 | TX |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP125290 | TX |
National Provider Identifier
| NPI | 1215353651 |
|---|---|
| Provider Name | Dr. Tracy Hicks |
| First Address | Longview, TX 75601-5377 |
| Second Address | Longview, TX 75605 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2014 |
| Last Update Date | 28/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.