Individual
DR. LAURENS RUSSELL PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6560 FANNIN ST, SUITE 1846, HOUSTON, TX 77030-2761
(713) 797-1211
(713) 795-9805
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(281) 833-3330
(281) 833-3323
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D7249
TX
2086S0120X
Pediatric Surgery Physician
D7249
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
D7249
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130331505
—
TX
Enumeration date
10/24/2006
Last updated
09/06/2013
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