Norman P Hicks, MD

Individual provider Active NPI Family Medicine Physician · Quitman, TX

NPI 1356315741 · NPPES record last updated Oct 13, 2014

Key facts

NPI
1356315741
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
G3462 (TX)
Practice address
502 E Goode St Ste 1E
Quitman, TX 75783-2539
Phone
(903) 763-5402
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Medical Center Quitman Past Accepting new patients
East Texas Medical Center Quitman Past
since Feb 10, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G3462 TX Yes

Addresses

Primary practice location

502 E Goode St Ste 1E
Quitman, TX 75783-2539

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450

Other identifiers

IdentifierTypeStateIssuer
128268301MedicaidTX
75-2616977-121OtherTXTRICARE

Other providers in Quitman, TX

All providers in Quitman, TX · Family Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.