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1881699270

NPI Code Detail

MEDICARE: KEITH ANDREW PICOU MD

MEDICARE: KEITH ANDREW PICOU MD

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	207Y00000X	Otolaryngology Physician	E2789	TX
2	207N00000X	Dermatology Physician	E2789	TX
3	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	E2789	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040010413	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	176590500	OTHER	TX	WORKERS COMPENSATION
3	119708100	OTHER	TX	VALLEY HEALTH PLANS
4	116616	OTHER	TX	SUPERIOR HEALTH PLANS
5	133101905	OTHER	TX	CIDC
6	86260Y	OTHER	TX	BC/BS OF TEXAS NUMBER
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881699270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH ANDREW PICOU MD

Provider Business Mailing Address
First Line	:	2101 S CYNTHIA ST STE A
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1359
Country	:	US
Telephone Number	:	956-362-7020
Fax Number	:	956-362-7035

Provider Business Practice Location Address
First Line	:	2101 S CYNTHIA ST STE A
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78503-1359
Country	:	US
Telephone Number	:	956-362-7020
Fax Number	:	956-362-7035

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	09/09/2025

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Directions to “ KEITH ANDREW PICOU MD” Practice Location

Language	Start Address	Practice Location

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