MEDICARE: PINEYWOODS MEDICAL CLINIC, PLLC

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

General Provider Information

NPI Number	:	1972432177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINEYWOODS MEDICAL CLINIC, PLLC

Provider Business Mailing Address
First Line	:	1240 E LOOP 304
Second Line	:
City	:	CROCKETT
State	:	TX
Zip	:	75835-1808
Country	:	US
Telephone Number	:	936-260-1192
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 E LOOP 304
Second Line	:
City	:	CROCKETT
State	:	TX
Zip	:	75835-1808
Country	:	US
Telephone Number	:	936-260-1192
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	WHITNEY CUTLER
Credential	:	FNP
Telephone Number	:	936-260-1192

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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