# DR. TAYLOR HICKS

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

## Provider details

- **NPI number:** 1982853750
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 036.119557 | IL | — |
| 2086S0129X | Vascular Surgery Physician | 036.119557 | IL | — |
| 2086S0129X | Vascular Surgery Physician | N2566 | TX | Yes |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 12/28/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036.119557 | — | IL |
| 05 | — | 283739503 | — | TX |
