Hicks, Barry A
Hicks, Barry A is an individual health care provider with primary practice located at 1935 Medical District Drive Pediatric Surgery, Suite D2000, Dallas TX 75235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Hicks, Barry A can be contacted via phone (214) 456-8044.Contact Information
Primary practice address
1935 Medical District Drive Pediatric Surgery, Suite D2000
Dallas TX 75235
Phone: (214) 456-8044
Fax: (214) 456-6320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MD437936 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MA08651400 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | C10009160 | Delaware |
Profile Details
| NPI number | 1174588990 |
|---|---|
| LBN Legal business name | Hicks, Barry A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | May 21st, 2018 - about 7 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 | 1174588990 | NPPES |
| New Jersey | MEDICAID | 0208949 | |
| New Jersey | MEDICAID | 102421891 | |
| New Jersey | MEDICAID | 044149501 | |
| New Jersey | MEDICAID | 418355 |
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