Provider Demographics
NPI:1174830707
Name:B S HICKS, INC.
Entity Type:Organization
Organization Name:B S HICKS, INC.
Other - Org Name:ABUNDANT HEALTH & WEIGHTLOSS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BEVILEE
Authorized Official - Middle Name:S
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:713-294-4581
Mailing Address - Street 1:3838 HILLCROFT ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7722
Mailing Address - Country:US
Mailing Address - Phone:713-782-2286
Mailing Address - Fax:713-782-2290
Practice Address - Street 1:3838 HILLCROFT ST
Practice Address - Street 2:SUITE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7722
Practice Address - Country:US
Practice Address - Phone:713-782-2286
Practice Address - Fax:713-782-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA02933363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty