Individual
DR. PATRICK W KICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2000 TRANSMOUNTAIN RD STE B, EL PASO, TX 79911-3602
(915) 215-8400
(915) 612-9254
Mailing address
5130 GATEWAY BLVD E, MSC51015, EL PASO, TX 79905-0001
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102203261
VA
207R00000X
Internal Medicine Physician
S4793
TX
207RP1001X
Pulmonary Disease Physician
Primary
S4793
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2011
Last updated
11/09/2023
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