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Individual
TODD PICKARD
Active
Individual
TODD PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02125
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181162202
—
TX
01
—
87N178
BLUE CROSS BLUE SHIELD
TX
01
—
970005033
RAILROAD MEDICARE
TX
Enumeration date
10/04/2006
Last updated
01/27/2011
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