Pickett Medical Center P.a | |
6600 Paige Rd Sutie 105 The Colony TX 75056-4500 | |
(972) 625-5442 | |
(972) 370-2301 |
Full Name | Pickett Medical Center P.a |
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Speciality | Clinic/Center |
Location | 6600 Paige Rd, The Colony, Texas |
Authorized Official Name and Position | Jan W Pickett (PHYSICIAN OWNER) |
Authorized Official Contact | 9726255442 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pickett Medical Center P.a 6600 Paige Rd Suite 105 The Colony TX 75056-4500 Ph: (972) 625-5442 | Pickett Medical Center P.a 6600 Paige Rd Sutie 105 The Colony TX 75056-4500 Ph: (972) 625-5442 |
NPI Number | 1275711657 |
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Provider Enumeration Date | 02/07/2008 |
Last Update Date | 10/10/2013 |
Medicare PECOS PAC ID | 5092997528 |
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Medicare Enrollment ID | O20110304000481 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275711657 | NPI | - | NPPES |
8F0090 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | H2690 (Texas) | Primary |
Provider Name | Jan W. Pickett |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1710999412 PECOS PAC ID: 6901088434 Enrollment ID: I20110304000505 |
Provider Name | Priscilla Marie Cepeda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215579693 PECOS PAC ID: 2062830169 Enrollment ID: I20200921002837 |
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