NPI age
20 years
Enumerated 2005-09-20
● Active
Type 1 · Individual
Kenneth I Licker, MD
Licker is 1 of 4 urology providers in Desoto and 1 of 1194 in Texas.
Primary specialty
Urology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1194 active urology providers in Texas.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
935 York Dr
Desoto, TX 751152043
Mailing address
Po Box 120549
Arlington, TX 760120549
Specialties
-
Urology PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 114910602 | |
| 05 (TX) | 114910601 |
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.