Organization
JON T. RICKS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON T RICKS M.D. (MEDICAL DIRECTOR)
(972) 377-6800
Entity
Organization
Contact information
Practice address
5575 FRISCO SQUARE BLVD STE 310, FRISCO, TX 75034-3309
(972) 377-6800
(972) 668-6707
Mailing address
5575 FRISCO SQUARE BLVD STE 310, FRISCO, TX 75034-3309
(972) 377-6800
(972) 668-6707
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
J4478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096704402
—
TX
Enumeration date
03/08/2012
Last updated
02/15/2023
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