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

Mr. Stacy Lamar Hicks, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1285888339

Mr. Stacy Lamar Hicks, PHYSICIANASSISTANT is a Physician Assistant in Temple, Texas. Graduated from Washington University School of Medicine in 2008, 18 years ago. Practices with Scott and White Clinic, a 2,429-clinician group and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
18
Trained at
Washington University School of Medicine
Licensed in
TX, WA
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

2401 S 31st St
Temple, TX 76508-0001
Phone: (254) 724-2111
Fax: (254) 724-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA07805 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TA60061061 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TA60061061 (WA)

Record details

NPI number1285888339
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 14, 2008
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Scott And White Clinic — 2429 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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