Hickman, Mark S

Hickman, Mark S is an individual health care provider with primary practice located at 598 N Union Ave Suite 200, New Braunfels TX 78130-4136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hickman, Mark S can be contacted via phone (830) 625-6259.

Contact Information

Primary practice address
598 N Union Ave Suite 200 New Braunfels TX 78130-4136
Phone: (830) 625-6259
Fax: (830) 625-6607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G3461 Texas

Profile Details

NPI number 1427160118
LBN Legal business name Hickman, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 12th, 2010 - about 15 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 1427160118 NPPES
Texas Other 00D03K BCBS OF TEXAS
Texas MEDICAID 120477801 BCBS OF TEXAS
Texas Other 020009056 BCBS OF TEXAS
Texas Other 7425494727813000000 BCBS OF TEXAS

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