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MR. STACY LAMAR HICKS PHYSICIAN ASSISTANT NPI 1285888339


NPI Information

NPI: 1285888339
Provider Name: MR. STACY LAMAR HICKS, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2401 S 31ST ST
TEMPLE, TX
ZIP 76508
Phone: (254) 724-2111
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MR. Stacy Lamar Hicks, PHYSICIAN ASSISTANT is a surgical physician assistant in Temple, TX with 16 years of experience. MR. Stacy Lamar Hicks, PHYSICIAN ASSISTANT NPI is 1285888339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

2401 S 31ST ST
TEMPLE, TX
ZIP 76508-001
Phone: (254) 724-2111
Fax: (254) 724-2111

The NPI 1285888339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2008 and was last updated on 12/28/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalTA60061061WASHINGTONNo
2363AS0400XPhysician AssistantSurgicalTA60061061WASHINGTONNo
3363AS0400XPhysician AssistantSurgicalPA07805TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.