James Dwayne Pickett in Conroe - Cardiovascular Disease

James Dwayne Pickett - NPI 1003904962

James Dwayne Pickett is a Cardiovascular Disease in Conroe, Texas. James Dwayne Pickett practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for James Dwayne Pickett is 1003904962. The last update date is 2012-11-15.

James Dwayne Pickett's current location address is 508 Medical Center Blvd, Conroe, Texas. You can contact this provider via phone number 9367604600 and fax number 9367604601. The mailing address for James Dwayne Pickett is 508 Medical Center Blvd, Conroe, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name James Dwayne Pickett
Address 508 Medical Center Blvd, Conroe, Texas
Phone Number 9367604600
Fax Number 9367604601
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003904962
Provider Enumeration Date 2006-10-10
Last Updated Date 2012-11-15

Provider Mailing Address Detail

Address 508 Medical Center Blvd
City Conroe
State Texas (TX)
Post Code 773042808
Phone Number 9367604600
Fax Number 9367604601

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No F7053
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
123004705 TX --

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FAQs about James Dwayne Pickett

What is the unique 10-digit identifier code issued to James Dwayne Pickett by the Centers for Medicare & Medicaid Services?

The James Dwayne Pickett has been assigned the NPI (National Provider Identifier) 1003904962 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where James Dwayne Pickett is located?

The James Dwayne Pickett is situated at the following address: 508 Medical Center Blvd, Conroe, TX, 773042808.

What is James Dwayne Pickett's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for James Dwayne Pickett is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

On what date did the James Dwayne Pickett receive the assignment of its 1003904962 from the Centers for Medicare & Medicaid Services?

The James Dwayne Pickett was issued its 1003904962 by the Centers for Medicare & Medicaid Services on 2006-10-10.

When was the information pertaining to James Dwayne Pickett most recently updated or revised?

The details related to James Dwayne Pickett, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-15.

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