# JOHN BURRIS HICKS III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1073976346
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 35.136410 | OH | — |
| 2080S0010X | Pediatric Sports Medicine Physician | S9702 | TX | Yes |

## Other

- **Enumeration date:** 04/03/2016
- **Last updated:** 05/25/2021