Organization
LOTRECE PICKETT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOTRECE L PICKETT (OWNER/DIRECTOR)
(281) 818-6590
Entity
Organization
Contact information
Practice address
12660 STAFFORD RD APT 926, STAFFORD, TX 77477-3555
(281) 818-6590
Mailing address
12660 STAFFORD RD APT 926, STAFFORD, TX 77477-3555
(281) 818-6590
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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