MEDICARE: DR. STEPHEN PICKETT M.D.

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	207R00000X	Internal Medicine Physician	BP10052930	TX
2	207RC0000X	Cardiovascular Disease Physician	Q9710	TX
3	207RI0011X	Interventional Cardiology Physician	Q9710	TX

General Provider Information

NPI Number	:	1417336199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN PICKETT M.D.

Provider Business Mailing Address
First Line	:	915 GESSNER RD STE 900
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2577
Country	:	US
Telephone Number	:	713-464-6006
Fax Number	:	713-464-0762

Provider Business Practice Location Address
First Line	:	915 GESSNER RD STE 900
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2577
Country	:	US
Telephone Number	:	713-464-6006
Fax Number	:	713-464-0762

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2015
Last Update Date	:	08/19/2025

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