LATIA MICHELLE HICKERSON

HOUSTON, TX
NPI1811238652
Former NameLATIA MICHELLE WADE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  AP122845)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: TX  794027)
363L00000X Nurse Practitioner
(Licence: TX  794027)
Enumeration Date2013-03-04
Last Update Date2018-05-30
Business Address
-- LATIA MICHELLE HICKERSON WHNP
17000 EL CAMINO REAL STE 209
HOUSTON, TX 77058-2633
Phone number: 832-930-6345
Mailing Address
-- LATIA MICHELLE HICKERSON WHNP
17000 EL CAMINO REAL STE 209
HOUSTON, TX 77058-2633
Phone number: 832-930-6345