Active NPI
Bevilee S Hicks, P.A.
- Medical Physician Assistant
- Houston, TX
National Provider Identifier
1649587387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA02933
- Practice address
- 2020 Eldridge Pkwy
#1302
Houston, TX 77077-3487 - Phone
- (713) 294-4581
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02933 | TX | Primary |
Addresses
Primary practice location
2020 Eldridge Pkwy
#1302
Houston, TX 77077-3487
Mailing address
3838 Hillcroft
Suite 205
Houston, TX 77057
Phone (713) 782-2286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02933 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B S Hicks, Inc. | Medical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Physician Assistant
- Houston, TX
- NPI 1174830707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1649587387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 HILLCROFT",
"address_2": "SUITE 205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77057",
"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": "2020 ELDRIDGE PKWY",
"address_2": "#1302",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770773487",
"telephone_number": "713-294-4581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "BEVILEE",
"middle_name": "S",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.