Individual
DAVID L HICKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 S RODNEY PARHAM RD, LITTLE ROCK, AR 72204-2476
(501) 221-0888
(501) 221-2769
Mailing address
1000 S RODNEY PARHAM RD, LITTLE ROCK, AR 72204-2476
(501) 221-0888
(501) 221-2769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C6837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11119000000
QUALCHOICE
AR
01
—
120101
UNITED HEALTHCARE
AR
01
—
52194
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/16/2005
Last updated
07/08/2007
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