Individual
DR. CARL A HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
Mailing address
16811 SOUTHWEST FWY, SUGAR LAND, TX 77479-4728
(281) 690-4678
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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