IndividualActive
John Hicks, M.D.
NPI 1073976346 · Pediatric Sports Medicine Physician · Aledo, TX
Provider details
- NPI number
- 1073976346
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35.136410 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
13340 Highland Hills Dr Ste 112
Aledo, TX 76008-2000
Phone: (682) 303-3000
Fax: (682) 303-3026
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 733784
Dallas, TX 75373-3784
Registry dates
- Enumerated
- 2016-04-03
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.