Hicks, David R.
Hicks, David R. is an individual health care provider with primary practice located at 6585 S Yale Ave Ste 200 , Tulsa OK 74136-8315. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Hicks, David R. can be contacted via phone (918) 481-2767.Contact Information
Primary practice address
6585 S Yale Ave Ste 200
Tulsa OK 74136-8315
Phone: (918) 481-2767
Fax: (918) 494-9277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 14047 | Oklahoma |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 14047 | Oklahoma |
Profile Details
NPI number | 1013990878 |
---|---|
LBN Legal business name | Hicks, David R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 25th, 2005 |
Last updated | Nov 1st, 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 | 1013990878 | NPPES |
Oklahoma | MEDICAID | 100100290A |
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