Pickard, Laurens Russell

Pickard, Laurens Russell is an sole proprietor health care provider with primary practice located at 6560 Fannin St Suite 1846, Houston TX 77030-2761. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Pickard, Laurens Russell can be contacted via phone (713) 797-1211.

Contact Information

Primary practice address
6560 Fannin St Suite 1846 Houston TX 77030-2761
Phone: (713) 797-1211
Fax: (713) 795-9805
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D7249 Texas
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X D7249 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X D7249 Texas

Profile Details

NPI number 1902980410
LBN Legal business name Pickard, Laurens Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Sep 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902980410 NPPES
Texas MEDICAID 130331505

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