| Larry Charles Hicks, PA | |
|
1441 Florida, Modesto, CA 95352 | |
| (209) 576-3999 | |
| Not Available |
| Full Name | Larry Charles Hicks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 1441 Florida, Modesto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568453801 | NPI | - | NPPES |
| CD069A | Other | CA | GROUP PTAN |
| OPA108440 | Other | CA | BLUE SHIELD |
| OPA108440 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Charles Hicks, PA 4301 Northstar Way, Modesto, CA 95356-9262 Ph: (209) 342-2300 | Larry Charles Hicks, PA 1441 Florida, Modesto, CA 95352 Ph: (209) 576-3999 |
Thaibinh Paul Lai-nguyen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Melina Lanzar, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Viviana Vera, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1209 Woodrow Ave Ste B10, Modesto, CA 95350 Phone: 209-291-0687 | |
Penny Goumenidis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-578-1211 | |
Ingrid Stephanie Medina, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 818-503-1233 | |
Kevin Noel Bixel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1401 Spanos Ct, Suite 130, Modesto, CA 95355 Phone: 209-550-4779 | |
Shannon Michelle Gillespie, P.A-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1441 Florida Avenue, Modesto, CA 95350 Phone: 209-576-3609 |