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DR. BRANDON LEE HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1542 TULANE AVE, BOX T4M-2, NEW ORLEANS, LA 70112
(504) 568-2577
(504) 568-2127
Mailing address
4705 REBECCA BLVD, METAIRIE, LA 70003-7627
(504) 237-0550
(504) 568-2127

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD.208043
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/16/2014
Last updated
08/09/2018
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