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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578568531 | NPPES |
| Texas | MEDICAID | 117408801 |
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