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WILLET J HICKMAN MD
NPI 1760456958
Family Medicine in Tyler, TX

Active since February 14, 2006
520 DOUGLAS BLVD, TYLER, TX 75702(903) 593-1721(903) 510-8724 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willet J Hickman Md NPPES

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

WILLET J HICKMAN MD (NPI 1760456958) is an individual family medicine provider in Tyler, Texas, licensed in Texas (E3707) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1760456958
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLET J HICKMANCredential: MD
Location Address520 DOUGLAS BLVDTyler, TX 75702-8307
Mailing AddressPo Box 5500Tyler, TX 75712-5500 · (903) 324-6450 · Fax (903) 593-7852
Phone(903) 593-1721
Fax(903) 510-8724
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 3, 2012
✔ NPI 1760456958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · E3707
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
520 DOUGLAS BLVD, Tyler, TX 75702
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Other Identifiers 4

Medicare ID-Type Unspecified83Y752TX
Medicaid128079404TX
Medicare UPINB23480
Medicare PIN080078098TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAINAB AISHA SHAFI
Internal Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-6401
MARK EDWARD VIG MD
Internal Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721
DR. JAMES BRANT BUCHINGER MD
Obstetrics & Gynecology
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 597-2002
ANTOINETTE LENTON M.D.
Psychiatry & Neurology (Psychiatry)
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 593-1721
ANNE M ZEORLIN MD
Family Medicine
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 510-1165
BARAKHA YADAV SILVIA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-8235
ALYSSA PROCTOR PHARMD, BCACP
Pharmacist
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-8878
AMIA TAYLOR MSW, LCSW, LISW
Social Worker (Clinical)
520 DOUGLAS BLVD
TYLER, TX 75702
Smith County (903) 606-1721

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 Willet Hickman's NPI number?

The NPI number for Willet Hickman is 1760456958. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Willet Hickman located?

Willet Hickman practices at 520 Douglas Blvd, Tyler, TX 75702. The listed phone number is (903) 593-1721.

What is Willet Hickman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Willet Hickman was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.