Provider Demographics
NPI:1144430984
Name:HICE, DOLORES (LLVN)
Entity type:Individual
Prefix:MRS
First Name:DOLORES
Middle Name:
Last Name:HICE
Suffix:
Gender:F
Credentials:LLVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6322 HORSEPEN BAYOU DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1530
Mailing Address - Country:US
Mailing Address - Phone:281-855-0494
Mailing Address - Fax:
Practice Address - Street 1:8410 HIGHWAY 90A
Practice Address - Street 2:STE 200
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3188
Practice Address - Country:US
Practice Address - Phone:281-238-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX127944164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse