Dr. Michael S Hickey
Trauma Surgeon
1325 Pennsylvania Ave Suite 200
Fort Worth
, Texas 76104-2158
Dr. Michael S Hickey
Trauma Surgeon
1325 Pennsylvania Ave Suite 200
Fort Worth
, Texas 76104-2158
(817) 336-3130
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About
Features
Specialties
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael S Hickey
- 1325 Pennsylvania Ave Suite 200
- Fort Worth, TX
- Zip : 76104-2158
- Fax : (817) 336-3130
- Phone : (817) 332-9957
Second Address
- Dr. Michael S Hickey
- 1325 Pennsylvania Ave Suite 200
- Fort Worth, TX
- Zip : 76104-2158
- Fax : (817) 336-3130
- Phone : (817) 332-9957
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0127X | Trauma Surgeon | G4132 | TX |
National Provider Identifier
| NPI | 1285686055 |
|---|---|
| Provider Name | Dr. Michael S Hickey |
| First Address | Fort Worth, TX 76104-2158 |
| Second Address | Fort Worth, TX 76104-2158 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 30/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 142236201 | (05) | TX |
| A37650 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.