MEDICARE: KIMBERLY HICKERSON L. AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC01487	TX

General Provider Information

NPI Number	:	1578979944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY HICKERSON L. AC.

Provider Business Mailing Address
First Line	:	6633 N MESA ST STE 507
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4422
Country	:	US
Telephone Number	:	915-585-6222
Fax Number	:

Provider Business Practice Location Address
First Line	:	6633 N MESA ST STE 507
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79912-4422
Country	:	US
Telephone Number	:	915-585-6222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	07/07/2014

Similar Medicare Providers

1851390454 — MANUEL F VALENZUELA MD
Practice Location Address:

6633 N MESA ST STE 203
EL PASO, TX
79912-4422

Practice Phone: 915-726-2175
Practice Fax:

1215181581 — ACU CARE ACUPUNCTURE CLINIC, INC
Practice Location Address:

6633 N MESA ST STE 507
EL PASO, TX
79912-4422

Practice Phone: 915-585-6222
Practice Fax: 915-585-6230

1164654703 — DR GENEVIEVE M GARCIA FACOG PA
Practice Location Address:

6633 N MESA ST STE 212
EL PASO, TX
79912-4422

Practice Phone: 915-241-2558
Practice Fax: 915-300-1069

1851844179 — INSTITUTE FOR MENTAL HEALTH, P.A.
Practice Location Address:

6633 N MESA ST STE 103
EL PASO, TX
79912-4422

Practice Phone: 915-801-4270
Practice Fax: 915-591-4054

1306371885 — AARON VAN ROSAS
Practice Location Address:

6633 N MESA ST STE 103
EL PASO, TX
79912-4422

Practice Phone: 915-307-4320
Practice Fax: 915-307-4035

1285164681 — ALEJANDRA CORRAL
Practice Location Address:

6633 N MESA ST STE 103
EL PASO, TX
79912-4422

Practice Phone: 915-307-4320
Practice Fax: 915-307-4035

Directions to “ KIMBERLY HICKERSON L. AC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.