# PINNACLE MID-ATLANTIC ANESTHESIA ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356745046
- **Authorized official:** MICHAEL R HICKS MD (PRESIDENT)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 100 WITMER RD, STE 220, HORSHAM, PA 19044-2251
- **Practice address phone:** (215) 442-5080
- **Practice address fax:** (877) 329-2370
- **Mailing address:** 13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
- **Mailing address phone:** (954) 838-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 10/09/2014
- **Last updated:** 09/11/2019