Picou, Mark David
Picou, Mark David is an individual health care provider with primary practice located at 3909 Ne Stallings Dr , Nacogdoches TX 75965. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Picou, Mark David can be contacted via phone (936) 564-7780.Contact Information
Primary practice address
3909 Ne Stallings Dr
Nacogdoches TX 75965
Phone: (936) 564-7780
Fax: (936) 564-0745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1071991 | Texas |
Profile Details
| NPI number | 1255385209 |
|---|---|
| LBN Legal business name | Picou, Mark David |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jun 27th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255385209 | NPPES |
| Texas | Other | 1071991 | TX BOARD OF PT EXAMINERS |
| Texas | MEDICAID | 021252401 | TX BOARD OF PT EXAMINERS |
Popular Providers
-
Davis, Marcy Franks
4632 Ne Stallings Dr , Nacogdoches TX 75965-1608 -
Creel, Austin Matthew
4635 Ne Stallings Dr Ste 104 , Nacogdoches TX 75965-1667 -
Glass, Kristen Ruby
4848 Ne Stallings Dr , Nacogdoches TX 75965-1239 -
Hurst, Laurayne Pittman
4920 Ne Stallings Dr , Nacogdoches TX 75965-1254 -
Cuevas, Jeffrey C
838 N University Suite 100, Nacogdoches TX 75961-4898 -
Carrigan, Allison Brooke
1305 North St Ste 102 , Nacogdoches TX 75961-4085 -
Mitchell, Max Hamilton
3909 Ne Stallings Dr , Nacogdoches TX 75965 -
Kenney, Morgan E
175 County Road 303 , Nacogdoches TX 75961-0148