Individual
CASEY ROBERT PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 HART ST BLDG 1200, SHEPPARD AFB, TX 76311-3430
(940) 676-2273
(940) 676-3484
Mailing address
149 HART ST BLDG 1200, SHEPPARD AFB, TX 76311-3430
(940) 676-2273
(940) 676-3484
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD463737
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2015
Last updated
11/12/2019
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