Organization
CREIGHTON A PICKETT III MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREIGHTON A PICKETT M.D. (OWNER/PHYSICIAN)
(817) 266-6636
Entity
Organization
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(765) 284-0493
(765) 284-2434
Mailing address
PO BOX 112, MUNCIE, IN 47308-0112
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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