Organization
DAVID R. FICKLEN, M.D., P.A.
Active
Other names
Turtle Creek Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R FICKLEN M.D. (OWNER)
(936) 435-0014
Entity
Organization
Contact information
Practice address
102 MEDICAL PARK LN STE A, HUNTSVILLE, TX 77340-4975
(936) 435-0014
(936) 435-9108
Mailing address
102 MEDICAL PARK LN STE A, HUNTSVILLE, TX 77340-4975
(936) 435-0014
(936) 435-9108
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K5929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1642985-01
—
TX
Enumeration date
04/26/2007
Last updated
05/18/2011
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