STEPHEN BRYAN HICKS (NPI# 1437156130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437156130 |
| Entity Type | Individual |
| Full Name | STEPHEN BRYAN HICKS |
| Credential | PA |
| Practice Address |
1201 S Main St 114 Boerne TX 78006-2833 |
| Practice Telephone | 8308166844 |
| Practice Fax Number | 8308166922 |
| Mailing Telephone | 8308166844 |
| Mailing Fax Number | 8308166922 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00853 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609079078 | Stephen T Hicks | Dentist | 1575 University Blvd S, Mobile, AL 36609-2958 | 2007-06-06 |
| 1861954786 | Stephen Hicks | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2019-04-01 |
| 1700366408 | Stephen Charles Hicks | Student in an Organized Health Care Education/Training Program | 4371 Narrow Lane Rd Ste 100, Montgomery, AL 36116-2975 | 2018-08-21 |
| 1225492531 | Stephen Bradley Hicks | Internal Medicine | 702 Rotary Cir, Ro 225, Indianapolis, IN 46202-5133 | 2016-04-12 |
| 1417160276 | Stephen Kyle Hicks | Counselor | 2322 W 7th Ave, Stillwater, OK 74074-1903 | 2007-05-08 |
| Street Address |
1201 S MAIN ST 114 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487169280 | Betty Achieng Ajuoga | Pharmacist | 1201 S Main St, Boerne, TX 78006-2833 | 2017-12-04 |
| 1871985861 | Ambulatory Strategies Physician Group | Clinic/Center | 1201 S Main St, Suite 118, Boerne, TX 78006-2833 | 2015-02-27 |
| 1598001323 | Heart Consultants of San Antonio, Pllc | Internal Medicine | 1201 S Main St, Suite 209, Boerne, TX 78006-2833 | 2012-12-26 |
| 1124394283 | Rock Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1201 S Main St, Suite 121, Boerne, TX 78006-2833 | 2012-03-22 |
| 1396900528 | Decision Height, Inc | Clinic/Center | 1201 S Main St, Ste 110, Boerne, TX 78006-2833 | 2008-07-28 |
| 1861674111 | Boerne Optical Ltd 1 | Optometrist | 1201 S Main St, Ste 108, Boerne, TX 78006-2833 | 2007-11-28 |
| 1841493699 | Peter Chukwudiebele Oraekwe | Pharmacist | 1201 S Main St, Suite 121, Boerne, TX 78006-2833 | 2007-06-08 |
| 1861694549 | Trinity Vision Center,pa | Optometrist | 1201 S Main St, Ste 108, Boerne, TX 78006-2833 | 2007-06-04 |
| 1841402724 | Nick N. Milnor | Chiropractor | 1201 S Main St, Ste. 114, Boerne, TX 78006-2833 | 2007-05-04 |
| 1417044678 | Urgent Care & Occupational Health Centers of Texas, P.a. | Clinic/Center | 1201 S Main St, Suite 118, Boerne, TX 78006-2833 | 2006-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548362163 | Earl Thomas Fisher | Physician Assistant | 247 Waring Welfare Rd, Boerne, TX 78006-7926 | 2006-09-03 |
| 1801222195 | Leighan C Brown | Physician Assistant | 136 Old San Antonio Rd, 406, Boerne, TX 78006-3337 | 2013-09-19 |
| 1396764155 | Joey Dionne Dixon-julian | Physician Assistant | 109 Falls Ct, Ste 100, Boerne, TX 78006 | 2006-07-19 |
| 1639163264 | Christine M Teicher | Physician Assistant | 1201 S Main St, Suite 114, Boerne, TX 78006-2833 | 2005-09-09 |
| 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 | ||||
Please comment or provide details below to improve the information on STEPHEN BRYAN HICKS.
| 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.