Individual
DR. BENJAMIN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4502 EAST 41ST ST, TULSA, OK 74125-2512
(918) 660-3395
Mailing address
4502 EAST 41ST ST, TULSA, OK 74125-2512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25851
OK
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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