| Doctor Name: | ALLANA GAYLE HICKS |
| NPI Number: | 1033146733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 595113 |
| Business Practice Address: | 1303 Mabee St Stamford, TX - 795537813 |
| Business Phone Number: | 3257735733 |
| Business Fax Number: | 3257735624 |
| Mailing Address: | 1303 Mabee St, Po Box 911 STAMFORD |
| State: | TX |
| Postal Code: | 795537813 |
| Phone Number: | 3257735733 |
| Fax Number: | 3257735624 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 11/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 595113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |