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Individual

DR. RYAN WALTER HICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1355 RIVER BEND DR, DALLAS, TX 75247-4915
(214) 237-1640
Mailing address
1355 RIVER BEND DR, DALLAS, TX 75247-4915

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD435635
PA
207N00000X
Dermatology Physician
N3082
TX
207ND0900X
Dermatopathology Physician
MD435635
PA
207ND0900X
Dermatopathology Physician
Primary
N3082
TX

Other

Enumeration date
05/23/2008
Last updated
07/29/2010
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