Individual
DR. RANDALL S. HICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2412 50TH ST, LUBBOCK, TX 79412-2504
(806) 744-7223
(806) 740-3325
Mailing address
2804 N LOOP 289, LUBBOCK, TX 79415-1410
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H4012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130387701
—
TX
Enumeration date
05/31/2006
Last updated
11/07/2013
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