Individual
JON T RICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5575 FRISCO SQUARE BLVD STE 310, FRISCO, TX 75034-3309
(972) 377-6800
(972) 867-1018
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
174400000X
Specialist
Primary
J4478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096704403
—
TX
Enumeration date
11/04/2005
Last updated
02/27/2023
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