Individual
RUSSELL JASON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-4220
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4220
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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