Hicks, M. John

Hicks, M. John is an individual health care provider with primary practice located at 504 Medical Center Blvd , Conroe TX 77304-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hicks, M. John can be contacted via phone (713) 481-3544.

Contact Information

Primary practice address
504 Medical Center Blvd Conroe TX 77304-2808
Phone: (713) 481-3544
Fax: (713) 432-0221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X J1685 Texas

Profile Details

NPI number 1578568531
LBN Legal business name Hicks, M. John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Mar 19th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578568531 NPPES
Texas MEDICAID 117408801

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