Individual
DEBORAH L PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 W. 5TH STREET, SUITE 3142, ODESSA, TX 79763
(432) 703-5299
(432) 385-5354
Mailing address
701 W. 5TH STREET, SUITE 3142, ODESSA, TX 79763
(432) 703-5299
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
K6238
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041886501
—
TX
Enumeration date
05/27/2005
Last updated
01/15/2014
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