Lori Hickson, MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P2259 Issued in TX

Legal business name

LORI HICKSON, MD PA

Practice address

1619 E. Common St., BLDG. L
Suite 1201
New Braunfels, TX 78130

Phone

(830) 203-6695

Fax

(830) 214-6292

NPI assigned

Jun 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori A Hickson, M.D.NPI 1235196163

Title

Owner

Phone

(830) 203-6695

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5091/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lori Ann Hickson, M.D.

  • Internal Medicine Physician
  • New Braunfels, TX
  • NPI 1235196163
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1073875985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 E. COMMON ST., BLDG. L",
            "address_2": "SUITE 1201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303464",
            "telephone_number": "830-203-6695",
            "fax_number": "830-214-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 E. COMMON ST., BLDG. L",
            "address_2": "SUITE 1201",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78130",
            "telephone_number": "830-203-6695",
            "fax_number": "830-214-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI HICKSON, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "HICKSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-203-6695",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P2259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Lopez, BCBA, LBA
• Emily Dawn Lopez
• Gabriela Lopez, RBT
• Lauren Celeste Lopez
• Marissa Lopez
• Lou Ann Wallis, LPC, PC
• Nancy Seman Lough, RN-ACNP
• Richard E Lowe I, M.D.
• Charly Lowry, MA CCC-SLP
• Madison D Lowry, M.D.

• Internal Medicine Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.