MEDICARE: PICKARD GOSSETT & SAWISKY LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0066JQ	OTHER	TX	BLUE CROSS GROUP

General Provider Information

NPI Number	:	1295887206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PICKARD GOSSETT & SAWISKY LLP

Provider Business Mailing Address
First Line	:	1039 N TWIN CITY HWY STE B
Second Line	:
City	:	NEDERLAND
State	:	TX
Zip	:	77627-3851
Country	:	US
Telephone Number	:	409-722-0026
Fax Number	:	409-729-2783

Provider Business Practice Location Address
First Line	:	1039 N TWIN CITY HWY STE B
Second Line	:
City	:	NEDERLAND
State	:	TX
Zip	:	77627-3851
Country	:	US
Telephone Number	:	409-722-0026
Fax Number	:	409-729-2783

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	PAMELA JEAN SAWISKY
Credential	:	RN
Telephone Number	:	409-722-0026

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	10/11/2018

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Directions to “PICKARD GOSSETT & SAWISKY LLP ” Practice Location

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