Individual
DR. JASON T PICKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1902 MOORES LN, TEXARKANA, TX 75503-4610
(903) 792-7515
(903) 791-8645
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L3895
TX
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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