Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel E Hicks, PA

Individual provider Medical Physician Assistant · NPI 1336422385

Daniel E Hicks, PA is a Physician Assistant in Live Oak, Texas. Qualified in 2011, 15 years ago. Practices with Tmc Provider Group PLLC, a 214-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
15
Licensed in
CA, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

12412 Judson Rd
Live Oak, TX 78233-3255
Phone: (210) 757-5034
Fax: (210) 510-7260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 — (760) 773-1221
  • 13722 Embassy Row, San Antonio, TX 78216-2000 — (210) 403-4210
  • 9230 Potranco Rd Ste 108, San Antonio, TX 78251-3023 — (210) 481-4125

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA12808 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA21937 (CA)

Record details

NPI number1336422385
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 26, 2011
Last updated in NPPESJuly 8, 2020
Certification dateJuly 8, 2020
Mailing address1023 Morning Gln, Spring Branch, TX 78070-4955

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Tmc Provider Group Pllc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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