Whalio Doctors

NPI 1538163910

Jason T Pickelman, MD

Practitioner Urology Physician Texarkana, TX

Practice location

Address
1902 Moores Ln, Texarkana, TX 75503-4610
Phone
(903) 792-7515
Fax
(903) 791-8645
Mailing address
5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence L3895 (TX)

Registry record

NPI
1538163910
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jun 2005
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.