Jessie D. Hicks, D.o.,p.a.

NPI #1366608051 in Vernon, Texas

Provider Information

NPI Number: 1366608051
Entity Type: Organization
Organization Name: Jessie D. Hicks, D.o.,p.a.
Primary Specialty: Internal Medicine
Enumeration Date: Aug 1, 2008
Last Updated: Aug 1, 2008

Practice Location

Address: 4301 COLLEGE DR RM 800
City: Vernon
State: Texas
ZIP Code: 76384-3128
Phone: (940) 552-9323

Authorized Official

Name: DR. JESSIE DENEICE HICKS, D.O.
Title: OWNER/PHYSICIAN
Phone: (940) 552-9323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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