Beverly J Hickman (NPI# 1114428745, PAC ID# 0547599532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114428745 |
| PAC ID by PECOS | 0547599532 |
| Professional Enrollment ID | I20190917003111 |
| Full Name | Beverly J Hickman |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Address |
17450 St Lukes Way Suite 290 Conroe TX 77384-8045 |
| Phone Number | 2812968500 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688999022 |
| Number of Group Practice Members | 183 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670122 | HOUSTON METHODIST THE WOODLANDS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 17450 St Lukes Way, Suite 290, Conroe, TX 77384-8045 | 2812968500 | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP GULF COAST PLLC |
| Physicians | 191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayden B Mcneill | Physician Assistant | Privia Medical Group Gulf Coast Pllc | 646 Fm 517 Rd W, Dickinson, TX 77539-3904 |
| Erika Crate | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 1674 W Baker Rd, Suite A, Baytown, TX 77521-2285 |
| Megan Lynette Craig | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 8000 Research Forest Dr, Suite 360, The Woodlands, TX 77382-1559 |
| Georjene Parker | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 210 E Houston St, Gc_leh_cleveland Office, Cleveland, TX 77327-4512 |
| Billie Botello | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 11040 E Fwy, Houston, TX 77029-1931 |
| Joy Leblanc | Obstetrics/gynecology | Privia Medical Group Gulf Coast Pllc | 7900 Fannin St, Suite 4000, Houston, TX 77054-2935 |
| Terah C Isaacson | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 1900 N Loop W, 580 Gc Jhmd Houston Office, Houston, TX 77018-8163 |
| Alice A Lim | Family Medicine | Privia Medical Group Gulf Coast Pllc | 7814 Bellaire Blvd, Houston, TX 77036-4936 |
| Patricia A Henry | Registered Dietitian Or Nutrition Professional | Privia Medical Group Gulf Coast Pllc | 10333 Kuykendahl Rd, Suite B, The Woodlands, TX 77382-2878 |
| Daniel L Howell | Colorectal Surgery (proctology) | Privia Medical Group Gulf Coast Pllc | 7105 Lawndale St, Houston, TX 77023-4248 |
| Street Address |
17450 ST LUKES WAY SUITE 290 |
| City | CONROE |
| State | TX |
| Zip | 77384-8045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Ciaglia | Hand Surgery | Mark Ciaglia Do PC | 17450 St Lukes Way, Suite 390, The Woodlands, TX 77384-3239 |
| Jeremiah N Johnson | Neurosurgery | Baylor St Lukes Medical Group | 17450 St Lukes Way, Suite 320, The Woodlands, TX 77384-8045 |
| Elizabeth A Mraz | Nurse Practitioner | Baylor St Lukes Medical Group | 17450 St Lukes Way, Suite 340, The Woodlands, TX 77384-8046 |
| Alix Williamson | Qualified Audiologist | Marquardt Audiology and Hearing Aids Pllc | 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003 |
| James H Liu | Otolaryngology | 17450 St Lukes Way, Suite 200, The Woodlands, TX 77384-2002 | |
| Matthew B Mccauley | Ophthalmology | Berkeley Eye Institute, P.a. | 17450 St Lukes Way, Suite 100, The Woodlands, TX 77384-8045 |
| Mark Mettauer | Thoracic Surgery | 17450 St Lukes Way, Suite 290, The Woodlands, TX 77384-8045 | |
| Chandler Robert Mann Ii | Optometry | Berkeley Eye Institute, P.a. | 17450 St Lukes Way, Suite 100, The Woodlands, TX 77384-8045 |
| Amy Marie O'connell | Nurse Practitioner | Privia Medical Group Gulf Coast Pllc | 17450 St Lukes Way, Suite 290, Conroe, TX 77384-8045 |
| Kevin J Keyes | Chiropractic | 17450 St Lukes Way, Suite 180, The Woodlands, TX 77384-8046 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krista E Reyes | Audiologist | Adult and Pediatric Ear, Nose, Throat and Allergy of The Woodlands, Pl | 17450 St Lukes Way, Suite 200, The Woodlands, TX 77384-2002 |
| Shital S Patel | Qualified Audiologist | Marquardt Audiology and Hearing Aids Pllc | 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003 |
| Meagan S Guidry | Qualified Audiologist | Marquardt Audiology and Hearing Aids Pllc | 17450 St Lukes Way, Suite 150, The Woodlands, TX 77384-2003 |
| Kimberly Menzie | Optometry | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Bret A Mcaden | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Srikanth Katragadda | Internal Medicine | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Sujatha Anand | Family Medicine | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Lana Hawayek | Dermatology | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Robert L Cook | General Surgery | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Ijeoma Nwaeze | Sports Medicine | Kelsey-seybold Medical Group, Pllc | 106 Vision Park Blvd, Shenandoah, TX 77384-3000 |
| Find all physicians in zip 77384 | |||
| City | CONROE |
| Zip Code | 77384 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONROE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Beverly J Hickman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.