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Contact Information

CORY J HICKS, MD
4901 LANG AVE NE
ALBUQUERQUE, NM87109-4495
 Phone: 505-842-8171
 Fax: 505-246-0684
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CORY J HICKS · (Male)

NPI Number 1588863450
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2007
Last updated 05/15/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # BP10027616
  • TX License # N7105
  • NM Medicaid 55236251
  • NM Other MD2014-0172 MEDICAL LICENSE
  • TX Other N7105 MEDICAL LICENSE
Hospital affiliation(s)
  • LOVELACE MEDICAL CENTER - (Acute Care)
    601 DR MARTIN LUTHER KING JR AVE NE
    ALBUQUERQUE, NM 87102
  • LOVELACE WOMEN'S HOSPITAL - (Acute Care)
    4701 MONTGOMERY BOULEVARD NE
    ALBUQUERQUE, NM 87109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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