Individual provider · Type 1 NPI

Marlynn Ceredo Hickson

Surgical Physician Assistant · Arlington, TX

NPI number 1740149335 Active

Practice location

4401 Park Springs Blvd Ste 130
Arlington, TX 76017-1935

Call (817) 960-9120 Map

Fax (817) 466-7289

Mailing address

1935 Medical District Dr
Dallas, TX 75235-7701

Other practice locations

  • 1935 Medical District Dr, Dallas, TX 75235-7701 · (844) 424-4537

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA20030 (TX)
Critical Care Pediatric Nurse Practitioner 363LP0222XPA20030 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1740149335

Marlynn Ceredo Hickson's National Provider Identifier is 1740149335, issued on Jan 19, 2026. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Arlington, TX. The record was last updated on Oct 8, 2026.