Individual
DR. TAYLOR HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036.119557
IL
2086S0129X
Vascular Surgery Physician
036.119557
IL
2086S0129X
Vascular Surgery Physician
Primary
N2566
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.119557
—
IL
05
—
283739503
—
TX
Enumeration date
09/16/2008
Last updated
12/28/2021
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