Mark S Hickman MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G3461 Issued in TX

Legal business name

MARK S HICKMAN MD PA

Practice address

598 N Union Ave
Suite 200
New Braunfels, TX 78130-4179

Phone

(830) 625-6259

Fax

(830) 625-6607

NPI assigned

Jun 24, 2008

Last updated

Oct 12, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark S Hickman, MDNPI 1427160118

Title

President

Phone

(830) 625-6259

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark S Hickman, MD

  • Surgery Physician
  • New Braunfels, TX
  • NPI 1427160118
  Authorized official Same address or phone

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1750542601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "SUITE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304179",
            "telephone_number": "830-625-6259",
            "fax_number": "830-625-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "SUITE 200",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304179",
            "telephone_number": "830-625-6259",
            "fax_number": "830-625-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S HICKMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-625-6259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "G3461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120477801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00D03K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "020009056",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Manuel
• Manus Servientes of Texas Corporation (Home Instead)
• Linda Evins Mappin, M.ED.
• Jeffrey A Marcoe, LPC
• Maria R Lomba , M.D.,P.a.
• Stella Marquardt, NP
• Kayla Marsh
• Shannon Leigh Marsh
• Ashley Marshall
• Diana Nicole Martell, DPT

• Surgery Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.