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Individual

DR. BARRY A HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1935 MEDICAL DISTRICT DRIVE, PEDIATRIC SURGERY, SUITE D2000, DALLAS, TX 75235
(214) 456-8044
(214) 456-6320
Mailing address
1935 MEDICAL DISTRICT DRIVE, PEDIATRIC SURGERY, SUITE D2000, DALLAS, TX 75235
(214) 456-8044
(214) 456-6320

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
C10009160
DE
2086S0120X
Pediatric Surgery Physician
MA08651400
NJ
2086S0120X
Pediatric Surgery Physician
MD437936
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0208949
NJ
05
044149501
TX
05
102421891
PA
05
418355
MD
Enumeration date
04/18/2006
Last updated
05/21/2018
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