Hicks, Patty
Hicks, Patty is an individual health care provider with primary practice located at 2201 S W S Young Dr Suite 111-B, Killeen TX 76543-5317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hicks, Patty can be contacted via phone (254) 680-3376.Contact Information
Primary practice address
2201 S W S Young Dr Suite 111-B
Killeen TX 76543-5317
Phone: (254) 680-3376
Fax: (254) 680-5252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01873 | Texas |
Profile Details
| NPI number | 1316900624 |
|---|---|
| LBN Legal business name | Hicks, Patty |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2006 |
| Last updated | Oct 11th, 2007 - about 18 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 | 1316900624 | NPPES |
| Texas | Other | PA01873 | TX LICENSE NUMBER |
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