Individual
JAMES M. HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4006
(512) 901-3906
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4006
(512) 901-3906
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
E2614
TX
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
E2614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120118801
—
TX
Enumeration date
03/08/2006
Last updated
11/30/2010
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