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JAMES DWAYNE PICKETT MD NPI 1003904962


NPI Information

NPI: 1003904962
Provider Name: JAMES DWAYNE PICKETT, MD
Classification: Internal Medicine - 207RI0011X
Entity Type: Individual

Specialization: Interventional Cardiology

Address:
508 MEDICAL CENTER BLVD
STE 200
CONROE, TX
ZIP 77304
Phone: (936) 760-4600
Get Directions

James Dwayne Pickett, MD is an interventional cardiology internal medicine in Conroe, TX. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. James Dwayne Pickett, MD NPI is 1003904962. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

508 MEDICAL CENTER BLVD
STE 200
CONROE, TX
ZIP 77304-808
Phone: (936) 760-4600
Fax: (936) 760-4601

The enumeration date for this NPI number is 10/10/2006 and was last updated on 11/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseF7053TEXASNo
2207RI0011XInternal MedicineInterventional CardiologyF7053TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C20512MEDICARE UPINTEXAS
2123004705MEDICAIDTEXAS
360067550MEDICARE PINGEORGIA
48600N3MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.