National Provider Identifier Database

JOHNNY D HICKSON III, MD – NPI #1528295755
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

JOHNNY D HICKSON III, MD
11000 HEFNER POINTE DR
OKLAHOMA CITY, OK73120-5039
Phone: 405-749-9655
Fax: 405-749-1001
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for JOHNNY D HICKSON III

NPI Number 1528295755
Credentials MD
Entity Individual
Enumeration date 06/15/2009
Last updated 02/03/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • OK License #: 30411
Hospital affiliation n/a

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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