MEDICARE: ALEXIS UNGER PICKARD RN

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	390200000X	Student in an Organized Health Care Education/Training Program	1020065	TX

General Provider Information

NPI Number	:	1023943727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS UNGER PICKARD RN

Provider Business Mailing Address
First Line	:	210 KETTLEMAN LN N
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-2979
Country	:	US
Telephone Number	:	408-483-3626
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 KETTLEMAN LN N
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-2979
Country	:	US
Telephone Number	:	408-483-3626
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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