LORI HICKSON, MD PA
NPI 1073875985
Internal Medicine in New Braunfels, TX

Active since June 15, 2012CLIA 45D2052413 · Waiver
1619 E. COMMON ST., BLDG. L, SUITE 1201, NEW BRAUNFELS, TX 78130(830) 203-6695(830) 214-6292 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lori Hickson, Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI HICKSON, MD PA (NPI 1073875985) is a healthcare organization registered as an internal medicine in New Braunfels, Texas and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Lori A Hickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1073875985
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLORI HICKSON, MD PA
Location Address1619 E. COMMON ST., BLDG. L, SUITE 1201New Braunfels, TX 78130
Mailing Address1619 E. Common St., Bldg. L, Suite 1201New Braunfels, TX 78130-3464 · (830) 203-6695 · Fax (830) 214-6292
Fax(830) 214-6292
Organization SubpartNo
Authorized OfficialLori A HicksonOwner · (830) 203-6695
Enumeration DateJune 15, 2012
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1073875985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · P2259
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1619 E. COMMON ST., BLDG. L, New Braunfels, TX 78130

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2052413

Lori Hickson MD PA · New Braunfels, TX
Active · expires Jan 9, 2027
CLIA Number45D2052413
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorLori A. Hickson MD
Laboratory Phone(949) 836-6846
Laboratory LocationLori Hickson MD PA1619 E Common St Bldg L Suite #1201, New Braunfels, TX 78130
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Hickson, MD PA's NPI number?

The NPI number for Lori Hickson, MD PA is 1073875985. It was assigned to this organization in the NPPES registry on June 15, 2012.

Where is Lori Hickson, MD PA located?

Lori Hickson, MD PA is located at 1619 E. Common St., Bldg. L Suite 1201, New Braunfels, TX 78130. The listed phone number is (830) 203-6695.

What is Lori Hickson, MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lori Hickson, MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2052413) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lori Hickson, MD PA was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.