Individual
RUSSELL JASON HICKS
Active
Individual
RUSSELL JASON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10029888
TX
207L00000X
Anesthesiology Physician
Primary
N8792
TX
Other
Enumeration date
08/22/2008
Last updated
01/08/2014
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