| Jessie D. Hicks, D.o.,p.a. | |
|
4301 College Dr Rm 800 Vernon TX 76384-3128 | |
| (940) 552-9323 | |
| (940) 552-9328 |
| Full Name | Jessie D. Hicks, D.o.,p.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4301 College Dr Rm 800, Vernon, Texas |
| Authorized Official Name and Position | Jessie Deneice Hicks (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9405529323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie D. Hicks, D.o.,p.a. 4301 College Dr Rm 800 Vernon TX 76384-3128 Ph: (940) 552-9323 | Jessie D. Hicks, D.o.,p.a. 4301 College Dr Rm 800 Vernon TX 76384-3128 Ph: (940) 552-9323 |
| NPI Number | 1366608051 |
|---|---|
| Provider Enumeration Date | 08/01/2008 |
| Last Update Date | 08/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366608051 | NPI | - | NPPES |
| 0028DT | Other | TX | BLUE LINK |
| 110243367 | Other | TX | RAILROAD MEDICARE |
| 030891801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K6864 (Texas) | Primary |
Kevin Lane Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4103 Wilbarger St, Vernon, TX 76384 Phone: 940-553-2140 Fax: 940-553-1739 | |
North Central Texas Community Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2015 Yamparika St, Vernon, TX 76384 Phone: 940-766-6306 | |
Wilbarger County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 College Dr, Vernon, TX 76384 Phone: 940-553-2892 Fax: 940-553-2893 | |
Texas Rose Family Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Pease St Ste 208, Vernon, TX 76384 Phone: 940-553-7036 Fax: 940-553-7056 | |
Bryant Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Main St, Vernon, TX 76384 Phone: 940-553-7092 Fax: 940-553-7095 | |
North Central Texas Community Health Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4301 College Dr Rm 600, Vernon, TX 76384 Phone: 940-766-6306 Fax: 940-766-6504 |