Individual
MR. DESTRE WADE PICKENS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
900 N GRAND AVE, SUITE 6A, SHERMAN, TX 75090-4440
(903) 813-2514
Mailing address
900 N GRAND AVE, SUITE 6A, SHERMAN, TX 75090-4440
(903) 813-2514
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3185
TX
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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