DANIEL E HICKS (NPI# 1336422385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336422385 |
| Entity Type | Individual |
| Full Name | DANIEL E HICKS |
| Credential | PA |
| Practice Address |
12412 Judson Rd Live Oak TX 78233-3255 |
| Mailing Address |
1023 Morning Gln Spring Branch TX 78070-4955 |
| Practice Telephone | 2107575034 |
| Practice Fax Number | 2105107260 |
| Mailing Telephone | 8018708921 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12808 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21937 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12412 Judson Rd, Live Oak, TX 782333255 | 2107575034 | 2105107260 |
| 13722 Embassy Row, San Antonio, TX 782162000 | 2104034210 | |
| 39000 Bob Hope Dr, Rancho Mirage, CA 922703221 | 7607731221 | |
| 9230 Potranco Rd Ste 108, San Antonio, TX 782513023 | 2104814125 | 2106457085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588126023 | Daniel F Hicks | Student in an Organized Health Care Education/Training Program | 20 York St, New Haven, CT 06510-3220 | 2019-04-03 |
| 1073079422 | Daniel Hicks | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-02-11 |
| 1265415699 | Daniel Hicks | Psychiatry & Neurology | 1028 Walnut St, Yankton, SD 57078-2910 | 2005-11-21 |
| 1417956160 | Daniel Hicks | Psychiatry & Neurology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2005-07-15 |
| Street Address |
12412 JUDSON RD |
| City | LIVE OAK |
| State | TX |
| Zip Code | 78233-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205885878 | Roby P. Joyce | Pathology | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2006-05-09 |
| 1831606334 | Tiffany Ann Johnson | Hospitalist | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2018-01-05 |
| 1184146334 | Monterrey Village Inpatient Services Pllc | Nurse Practitioner | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2017-07-10 |
| 1154871101 | Vicky Torres | Nurse Practitioner | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2016-10-13 |
| 1619331469 | Nathanael Peter Marsan | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233-3272 | 2016-04-07 |
| 1225499064 | Laura Wiemar | Registered Nurse | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2016-03-07 |
| 1174994396 | Herald Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1790156966 | Inner Harbor Emergency Physicians, Pllc | Physician Assistant | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2015-10-14 |
| 1568840569 | Erin De La Cruz | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233 | 2015-05-11 |
| 1154741155 | John Leonard | Emergency Medicine | 12412 Judson Rd, Live Oak, TX 78233-3255 | 2014-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162451 | Jennifer Chaghoury | Chore Provider | 4606 La Marquesa St, San Antonio, TX 78233 | 2020-07-27 |
| 1912515719 | Creative Health Care Management, LLC | Physical Therapist | 4415 Rio D'oro St, San Antonio, TX 78233 | 2020-07-17 |
| 1841822749 | Edilma Yosmara Medrano | Nurse's Aide | 209 Goforth Drive, San Antonio, TX 78233 | 2020-02-07 |
| 1578194411 | Jorge Javier Jaramillo De La Torre | Neurological Surgery | Cuauhtemoc 380, Col. Moderna, San Luis Potosi, SLP 78233 | 2020-01-29 |
| 1174182000 | Shenila Rajani Od Pllc | Optometrist | 12349 I-35, San Antonio, TX 78233 | 2019-06-13 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1457862302 | Antoinette Marie Powell | Massage Therapist | 14615 Interstate 35 N, Live Oak, TX 78233 | 2017-10-18 |
| 1154852150 | Dustin William Koenning | Pharmacist | 6019 Randolph Blvd., San Antonio, TX 78233 | 2017-03-22 |
| 1316481153 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 12602 Toepperwein Rd Ste 218, Live Oak, TX 78233 | 2016-12-13 |
| 1477096121 | Vanessa's Garden of Hope Assisted Living,llc | Assisted Living Facility | 4350 Shallow Water, San Antonio, TX 78233 | 2016-11-29 |
| Find all providers in zip 78233 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568687499 | Salima Panjwani | Physician Assistant | 12414 Toepperwein Rd, Live Oak, TX 78233-3230 | 2007-04-16 |
| 1912997347 | Phillip Dwight Cosby | Physician Assistant | 12501 Judson Rd, Suite 102, Live Oak, TX 78233-4103 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.