Individual
DR. JOHN LANCE PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4370 MEDICAL ARTS DR, SUITE 105, FLOWER MOUND, TX 75028-1712
(214) 691-1902
(214) 513-2059
Mailing address
3600 GASTON AVE, SUITE 1205, DALLAS, TX 75246-1800
(214) 692-8262
(214) 696-4190
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
27987
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045329202
—
TX
05
—
045329203
—
TX
Enumeration date
10/17/2005
Last updated
01/31/2017
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