Provider Demographics
NPI:1326220997
Name:HICKS-ROBINSON, AMY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:HICKS-ROBINSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3401 GREENBRIAR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79707-4652
Mailing Address - Country:US
Mailing Address - Phone:432-618-5215
Mailing Address - Fax:432-618-5253
Practice Address - Street 1:3401 GREENBRIAR
Practice Address - Street 2:SUITE 200
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-4652
Practice Address - Country:US
Practice Address - Phone:432-618-5215
Practice Address - Fax:432-618-5253
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA05430363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical