Active NPI
Joyclyn T. Wicks, MD, PA
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1174569040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- JOYCLYN T. WICKS, MD, PA
- Practice address
- 6757 Arapaho Rd
Dallas, TX 75248-4005 - Phone
- (972) 488-8926
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delores Cady
- Title
- Authorized Official
- Phone
- (972) 488-8926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
6757 Arapaho Rd
Dallas, TX 75248-4005
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203552000000",
"number": "1174569040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6757 ARAPAHO RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752484005",
"telephone_number": "972-488-8926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOYCLYN T. WICKS, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2008-02-21",
"status": "A",
"authorized_official_last_name": "CADY",
"authorized_official_first_name": "DELORES",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "972-488-8926"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.