John Burris Hicks Iii, MD | |
13340 Highland Hills Dr Ste 112, Aledo, TX 76008-2000 | |
(682) 303-3000 | |
(682) 303-3026 |
Full Name | John Burris Hicks Iii |
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Gender | Male |
Speciality | Pediatrics - Sports Medicine |
Location | 13340 Highland Hills Dr Ste 112, Aledo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073976346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35.136410 (Ohio) | Secondary |
2080S0010X | Pediatrics - Sports Medicine | S9702 (Texas) | Primary |
Entity Name | Cook Childrens Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
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John Burris Hicks Iii, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | John Burris Hicks Iii, MD 13340 Highland Hills Dr Ste 112, Aledo, TX 76008-2000 Ph: (682) 303-3000 |
Diana Marie Filtz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3025 | |
Caryn Elisabeth Pyle, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr Ste 211, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3301 | |
Samina S Farooqi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr Ste 111, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3025 | |
Gina Fowler, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 311 S Fm 1187, 300, Aledo, TX 76008 Phone: 817-441-2266 Fax: 877-293-3512 | |
Ankita Singh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3301 | |
Laura G Power, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13340 Highland Hills Dr Ste 112, Aledo, TX 76008 Phone: 682-303-3000 Fax: 682-303-3026 |