Individual
DAVID JOHN SCHICKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 WOODED ACRES DR, SUITE 240, WACO, TX 76710-4468
(254) 292-1090
(254) 292-1100
Mailing address
PO BOX 20635, WACO, TX 76702-0635
(254) 292-1090
(254) 292-1100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110457201
—
TX
Enumeration date
08/30/2006
Last updated
07/06/2010
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