Hicks, Michael Ray

Hicks, Michael Ray is an individual health care provider with primary practice located at 6606 Lbj Fwy Ste 200 , Dallas TX 75240-6524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Hicks, Michael Ray can be contacted via phone (972) 715-5000.

Contact Information

Primary practice address
6606 Lbj Fwy Ste 200 Dallas TX 75240-6524
Phone: (972) 715-5000
Fax: (972) 715-9976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G9862 Texas

Profile Details

NPI number 1215914825
LBN Legal business name Hicks, Michael Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Oct 27th, 2015 - 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 1215914825 NPPES
Texas Other 83787K BCBS
Texas MEDICAID 135451602 BCBS
Texas Other 050064789 BCBS
Texas MEDICAID 135451612 BCBS
Texas MEDICAID 135451603 BCBS
Texas MEDICAID 135451609 BCBS
Texas MEDICAID 135451601 BCBS
Texas MEDICAID 135451610 BCBS
Texas MEDICAID 135451611 BCBS

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