Individual
PROF. LINDSAY HICKMAN
Active
Individual
PROF. LINDSAY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA05592
TX
363AS0400X
Surgical Physician Assistant
Primary
PA05592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195908201
—
TX
05
—
195908202
—
TX
05
—
195908206
—
TX
05
—
195908207
—
TX
05
—
195908208
—
TX
05
—
195908209
—
TX
05
—
195908210
—
TX
05
—
195908211
—
TX
05
—
195908212
—
TX
01
—
8Y8381
BCBS
TX
01
—
8Y8449
BCBSTX
TX
Enumeration date
01/29/2008
Last updated
01/26/2015
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