Individual
JOHN BURRIS HICKS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13340 HIGHLAND HILLS DR STE 112, ALEDO, TX 76008-2000
(682) 303-3000
(682) 303-3026
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1855
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.136410
OH
2080S0010X
Pediatric Sports Medicine Physician
Primary
S9702
TX
Other
Enumeration date
04/03/2016
Last updated
05/25/2021
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