Individual
DAVID R. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6585 S YALE AVE STE 200, TULSA, OK 74136-8315
(918) 481-2767
(918) 494-9277
Mailing address
6585 S YALE AVE STE 200, TULSA, OK 74136-8315
(918) 481-2767
(918) 494-9277
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14047
OK
207XS0117X
Orthopaedic Surgery of the Spine Physician
14047
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100290A
—
OK
Enumeration date
11/25/2005
Last updated
11/01/2018
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