Pickett Heart Clinic

LBN: Pickett Heart Clinic
Pickett Heart Clinic is an health care organization with primary practice located at 1111 W Frank Ave Suite 203, Lufkin TX 75904-3303. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Pickett Heart Clinic can be contacted via phone (936) 634-9844, or through Pickett, Brian R via phone (936) 634-9844.

Contact Information

Primary practice address
1111 W Frank Ave Suite 203 Lufkin TX 75904-3303
Phone: (936) 634-9844
Fax: (936) 634-9258
Website:
Map and Directions
Authorized official contact:
Name: Pickett, Brian R Doctor of Medicine (MD)
Phone: (936) 634-9844

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X E8818 Texas

Profile Details

NPI number 1750570008
LBN Legal business name Pickett Heart Clinic
DBA Doing business as
Authorized official Pickett, Brian R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated Feb 19th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750570008 NPPES
Texas MEDICAID 146291301

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