Individual
MR. STACY LAMAR HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-2111
Mailing address
PO BOX 847556, DALLAS, TX 75284-7556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
TA60061061
WA
363AS0400X
Surgical Physician Assistant
Primary
PA07805
TX
363AS0400X
Surgical Physician Assistant
TA60061061
WA
Other
Enumeration date
11/14/2008
Last updated
12/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us