Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN BURRIS HICKS III, M.D.
Active Sole ProprietorJOHN BURRIS HICKS III, M.D. is a Sports Medicine (Pediatrics) healthcare provider located in ALEDO, Texas. NPI 1073976346 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Pediatrics) · ALEDO, TX
Registration Details
- NPI Number
- 1073976346
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2016 (10.321121650674 yrs)
- Last Updated
- May 25, 2021
- Licenses
-
35.136410 (OH)S9702 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13340 HIGHLAND HILLS DR STE 112ALEDO, TX, 760082000Browse TX providers · Browse ZIP 76008
- Phone
- 6823033000
- Fax
- 6823033026
- Primary Specialty
-
Sports Medicine (Pediatrics)
2080S0010X
- Additional Specialty
- Sports Medicine (Pediatrics)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.