Individual
MASON GAGE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-1273
(432) 640-1818
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-1273
(432) 640-1818
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
Q4128
TX
Other
Enumeration date
04/19/2010
Last updated
07/20/2016
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