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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1679575922 NPPES
Arizona MEDICAID 221276

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