Individual
DR. JASON RAINE PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 ED BLUESTEIN BLVD, AUSTIN, TX 78721-2909
(512) 978-0000
Mailing address
4201 ED BLUESTEIN BLVD, AUSTIN, TX 78721-2909
(512) 978-0000
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
P0948731
OH
207P00000X
Emergency Medicine Physician
Primary
13823854-1205
UT
207P00000X
Emergency Medicine Physician
27856
WV
207P00000X
Emergency Medicine Physician
35.089152
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
35.089152
OH
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
R4766
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272983
—
OH
Enumeration date
01/14/2007
Last updated
12/12/2024
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