MR. Destre Wade Pickens, ATC

NPI #1194786269 in Sherman, Texas

Provider Information

NPI Number
1194786269
Entity Type
Individual
Name
MR. Destre Wade Pickens, ATC
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
900 N GRAND AVE
Address 2
SUITE 6A
State
Texas
ZIP Code
75090-4440
Phone
(903) 813-2514

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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