MEDICARE: PATRICIA JOAN HICKS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	J5351	TX

General Provider Information

NPI Number	:	1073574364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JOAN HICKS MD

Provider Business Mailing Address
First Line	:	2350 N STEMMONS FWY STE 2450
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-2700
Country	:	US
Telephone Number	:	469-488-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 N STEMMONS FWY STE 2450
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75207-2700
Country	:	US
Telephone Number	:	469-488-7200
Fax Number	:	469-488-7201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	01/08/2024

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Directions to “ PATRICIA JOAN HICKS MD” Practice Location

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