Individual
STEPHEN BRYAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1201 S MAIN ST, 114, BOERNE, TX 78006-2833
(830) 816-6844
(830) 816-6922
Mailing address
1201 S MAIN ST, 114, BOERNE, TX 78006-2833
(830) 816-6844
(830) 816-6922
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00853
TX
Other
Enumeration date
07/07/2005
Last updated
11/27/2012
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