Daniel E Hicks, PA

NPI #1336422385 in Live Oak, Texas

Provider Information

NPI Number
1336422385
Entity Type
Individual
Name
Daniel E Hicks, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Sep 26, 2011
Last Updated
Jul 8, 2020

Practice Location

Address
12412 JUDSON RD
State
Texas
ZIP Code
78233-3255
Phone
(210) 757-5034

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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