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Contact Information

MARK D PICOU, PT
3909 NE STALLINGS DR
NACOGDOCHES, TX75965
 Phone: 936-564-7780
 Fax: 936-564-0745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK D PICOU · (Male)

NPI # 1255385209
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 05/22/2006
Last updated 06/27/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 1071991
  • TX Medicaid 021252401
  • TX Other 1071991 TX BOARD OF PT EXAMINERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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