Hickman, Mark S
Hickman, Mark S is an individual health care provider with primary practice located at 598 N Union Ave Suite 200, New Braunfels TX 78130-4136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hickman, Mark S can be contacted via phone (830) 625-6259.Contact Information
Primary practice address
598 N Union Ave Suite 200
New Braunfels TX 78130-4136
Phone: (830) 625-6259
Fax: (830) 625-6607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G3461 | Texas |
Profile Details
| NPI number | 1427160118 |
|---|---|
| LBN Legal business name | Hickman, Mark S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 12th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427160118 | NPPES |
| Texas | Other | 00D03K | BCBS OF TEXAS |
| Texas | MEDICAID | 120477801 | BCBS OF TEXAS |
| Texas | Other | 020009056 | BCBS OF TEXAS |
| Texas | Other | 7425494727813000000 | BCBS OF TEXAS |
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