Revell E Hicks, RRT, MBA

Primary specialty

Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X

License

24222 Issued in TX

Practice address

2312 Comanche TRL
Grand Prairie, TX 75052-8595

Phone

(817) 652-2632

NPI assigned

Jul 31, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Revell E Hicks Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

Practice roles

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

• Americorf,LLC

  • Oxygen Equipment & Supplies (DME)
  • Grand Prairie, TX
  • NPI 1295923449
  NPD (past) Authorized official

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1568652923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 COMANCHE TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528595",
            "telephone_number": "817-652-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 COMANCHE TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528595",
            "telephone_number": "817-652-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "REVELL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "RRT, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "TX",
            "license": "24222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REVELL",
            "last_name": "HICKS",
            "middle_name": "E",
            "suffix": "JR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Grant Whittington Herndon, D.O.
• Amanda Herrera, LPC ASSOCIATE
• Monica Tovar Herrera, PA-C
• Jacob Lee Herring, ATC, LAT
• Grant Herrington, MD
• Idania Sirleny Hidalgo, M.D.
• Highpoint Rehabiliation
• Hill Adult Day Care
• Lucila Hinojosa, DDS
• Latasha Hinson, LCSW, CCM,

• Critical Care Registered Respiratory Therapist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Critical Care Registered Respiratory Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.