B S Hicks, Inc.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA02933 Issued in TX

Legal business name

B S HICKS, INC.

Practice address

3838 Hillcroft St
Suite 205
Houston, TX 77057-7722

Phone

(713) 782-2286

Fax

(713) 782-2290

NPI assigned

Sep 2, 2010

Organization subpart

No

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

Authorized official

Name

Bevilee S Hicks, P.A.NPI 1649587387

Title

President

Phone

(713) 294-4581

Specialties & licenses 1

Addresses

Other names 1

• Abundant Health & Weightloss Center Doing business as

Locations

Practitioners 1

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

• Bevilee S Hicks, P.A.

  • Medical Physician Assistant
  • Houston, TX
  • NPI 1649587387
  NPD (past) Authorized official

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1174830707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 HILLCROFT ST",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577722",
            "telephone_number": "713-782-2286",
            "fax_number": "713-782-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 HILLCROFT ST",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577722",
            "telephone_number": "713-782-2286",
            "fax_number": "713-782-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B S HICKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BEVILEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-294-4581",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Health & Weightloss Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.