Pickens, Jeffrey S

Pickens, Jeffrey S is an individual health care provider with primary practice located at 1411 E Amarillo Blvd , Amarillo TX 79107-5555. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pickens, Jeffrey S can be contacted via phone (806) 354-1015.

Contact Information

Primary practice address
1411 E Amarillo Blvd Amarillo TX 79107-5555
Phone: (806) 354-1015
Fax: (806) 351-7274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X F9953 Texas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X F9953 Texas

Profile Details

NPI number 1396726212
LBN Legal business name Pickens, Jeffrey S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 13th, 2015 - about 11 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 1396726212 NPPES
Texas Other P00661452 MEDICARE RAILROAD
Texas MEDICAID 1388084 16 MEDICARE RAILROAD

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