IndividualActive
Anthony Hicks, MD
NPI 1053460204 · Legal Medicine · Austin, TX
Provider details
- NPI number
- 1053460204
- Entity type
- Individual
- Primary specialty
- Legal MedicineOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- J4853 (TX)
Specialties & taxonomies
Other Service Providers
Practice location
4100 Duval Rd Ste 4-202
Austin, TX 78759-4278
Phone: (512) 832-9686
Approximate (ZIP-level) locationGet directions
Mailing address
4100 Duval Rd Ste 4-202
Austin, TX 78759-4278
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.