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General NPI Number Information
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NPI Number | 1659243327
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Entity Type | Organization
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Legal Business Name | HICO TOTAL HEALTH AND WELLNESS
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 800 N SECOND ST
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City | HICO
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State | TX
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Zip | 76457-6261
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Country | US
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Telephone | 254-374-0430
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Fax | 254-442-0400
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Provider Business Mailing Address
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Address Line | 800 N SECOND ST
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City | HICO
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State | TX
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Zip | 76457-6261
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Country | US
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Telephone | 254-374-0430
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Fax | 254-442-0400
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Authorized Official
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Title or Position | NP/OWNER
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Name | HEATHER WYATT
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Credential | NP
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Telephone | 254-374-0430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083T0002X
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Taxonomy Name | Medical Toxicology (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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