Organization
PICKETT HEART CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R PICKETT MD (OWNER/PRESIDENT)
(936) 634-9844
Entity
Organization
Contact information
Practice address
1111 W FRANK AVE, SUITE 203, LUFKIN, TX 75904-3303
(936) 634-9844
(936) 634-9258
Mailing address
1111 W FRANK AVE, SUITE 203, LUFKIN, TX 75904-3303
(936) 634-9844
(936) 634-9258
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E8818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146291301
—
TX
Enumeration date
10/22/2007
Last updated
02/19/2010
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