Mark Hicks

NPI #1295836757 in Brea, California

Provider Information

NPI Number: 1295836757
Entity Type: Organization
Organization Name: Mark Hicks
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Sep 26, 2006
Last Updated: Sep 20, 2011

Practice Location

Address: 1280 W LAMBERT RD
Address 2: SUITE B
City: Brea
State: California
ZIP Code: 92821-2820
Phone: (562) 691-7161

Authorized Official

Name: MR. MARK P HICKS, BS RRT RCP
Title: PRESIDENT
Phone: (562) 691-7161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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