Individual
MR. DONALD EUGENE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4205 FRANKLIN AVE, WACO, TX 76710
(254) 772-2777
Mailing address
4205 FRANKLIN AVE, WACO, TX 76710
(254) 772-2777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00955
TX
Other
Enumeration date
07/19/2006
Last updated
04/06/2012
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