Organization
PICKETT MEDICAL CENTER P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN W PICKETT M.D. (PHYSICIAN OWNER)
(972) 625-5442
Entity
Organization
Contact information
Practice address
6600 PAIGE RD, SUTIE 105, THE COLONY, TX 75056-4500
(972) 625-5442
(972) 370-2301
Mailing address
6600 PAIGE RD, SUITE 105, THE COLONY, TX 75056-4500
(972) 625-5442
(972) 370-2301
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
H2690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8F0090
BCBS
TX
Enumeration date
02/07/2008
Last updated
10/10/2013
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