| Daniel E Hicks, PA | |
|
12412 Judson Rd, Live Oak, TX 78233-3255 | |
| (210) 757-5034 | |
| (210) 510-7260 |
| Full Name | Daniel E Hicks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 12412 Judson Rd, Live Oak, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336422385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA21937 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA12808 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc Provider Group Pllc | 6305149121 | 213 |
| Entity Name | TMC Provider Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053784660 PECOS PAC ID: 6305149121 Enrollment ID: O20160127002626 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel E Hicks, PA 1023 Morning Gln, Spring Branch, TX 78070-4955 Ph: (801) 870-8921 | Daniel E Hicks, PA 12412 Judson Rd, Live Oak, TX 78233-3255 Ph: (210) 757-5034 |
Maui Cervantes, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12850 Toepperwein Rd, Live Oak, TX 78233 Phone: 210-614-1234 |
Rebecca Jill Gleason, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12412 Judson Rd, Live Oak, TX 78233 Phone: 210-757-7000 |
Roxanne Rodriguez, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12602 Toepperwein Rd Ste 100, Live Oak, TX 78233 Phone: 210-654-0030 Fax: 877-212-6201 |
Yolanda L Valdes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12702 N Ih 35, Live Oak, TX 78233 Phone: 210-650-9660 Fax: 210-654-1432 |
Orlando Lopez, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 7010 Hayes Horizon, Live Oak, TX 78233 Phone: 262-909-2883 |
Lynsey Diane Juarez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12412 Judson Rd, Live Oak, TX 78233 Phone: 210-787-0097 |
Ryan J Ahr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12709 Toepperwein Rd Ste 101, Live Oak, TX 78233 Phone: 210-625-4733 |