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NPI Code Detail

MEDICARE: SUMMER HICKS

MEDICARE: SUMMER HICKS
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
1183700000XPharmacy TechnicianTX

General Provider Information

NPI Number : 1265021463
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMMER HICKS
Provider Business Mailing Address
First Line : 1520 AUSTIN HWY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-6039
Country : US
Telephone Number : 210-828-6871
Fax Number :
Provider Business Practice Location Address
First Line : 1520 AUSTIN HWY
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78218-6039
Country : US
Telephone Number : 210-548-2108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2021
Last Update Date : 01/12/2021

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Directions to “ SUMMER HICKS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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