Individual provider · Type 1 NPI
Prentice Charles Hickman, DO
General Practice Physician · Amarillo, TX
NPI number
1821139924
Active
Practice location
4139 W. 34th Ave.
Amarillo, TX 79109
Mailing address
P.o. Box 8275
Amarillo, TX 79114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | D6775 (TX) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Amarillo
About NPI 1821139924
Prentice Charles Hickman, DO's National Provider Identifier is 1821139924, issued on Feb 9, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Amarillo, TX. The record was last updated on Jul 8, 2007.