Hicks, Thomas H
Hicks, Thomas H is an sole proprietor health care provider with primary practice located at 6325 E Tanque Verde Rd , Tucson AZ 85715-3808. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Hicks, Thomas H can be contacted via phone (520) 546-7137.Contact Information
Primary practice address
6325 E Tanque Verde Rd
Tucson AZ 85715-3808
Phone: (520) 546-7137
Fax: (520) 885-7396
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 7244 | Arizona |
Allopathic & Osteopathic Physicians / Urology | 208800000X | 7244 | Arizona |
Profile Details
NPI number | 1679575922 |
---|---|
LBN Legal business name | Hicks, Thomas H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2005 |
Last updated | Sep 10th, 2014 - about 10 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 | 1679575922 | NPPES |
Arizona | MEDICAID | 221276 |
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