Individual
DR. CARL A HICKS
Active
Individual
DR. CARL A HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H3576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104542901
—
TX
05
—
104542903
—
TX
05
—
104542904
—
TX
05
—
104542905
—
TX
05
—
104542906
—
TX
05
—
104542908
—
TX
01
—
610119705
US DEPT OF LABOR
TX
01
—
687360
AETNA
TX
01
—
8BP178
BLUE CROSS BLUE SHIELD
TX
01
—
P00732733
RAILROAD MEDICARE
TX
01
—
P01055718
RR MEDICARE
TX
Enumeration date
08/31/2006
Last updated
08/30/2016
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