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Laurens Russell Pickard

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Allopathic & Osteopathic Physicians

6560 Fannin St, Suite 1846, Houston, TX 77030-2761

PECOS Enrollment

This provider is enrolled in PECOS as LAURENS PICKARD.

Based on the most recent information from CMS, provider Laurens Russell Pickard is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1902980410
Provider Type
Individual
Full Name
Pickard, Laurens Russell
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/24/2006
Last Updated
9/6/2013

Contact Information

Practice Location

6560 Fannin St, Suite 1846, Houston, TX 77030-2761

(713) 797-1211

(713) 795-9805

Mailing Location

PO Box 128, Bellaire, TX 77402-0128

(281) 833-3330

(281) 833-3323

Provider Taxonomies

Code	Description	License
Code 208G00000X Primary	Description Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians	License D7249 Texas
Code 208600000X	Description Surgery Allopathic & Osteopathic Physicians	License D7249 Texas
Code 2086S0120X	Description Surgery Allopathic & Osteopathic Physicians	License D7249 Texas

Provider Identifiers

ID	Description	Issuer
ID 130331505	Description Medicaid	Issuer Unlisted Texas

Laurens Russell Pickard

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Lawrie, Gerald Murray

Safi, Hazim

Chan, Edward

Yoneyama, Fumiya

Sledz, Mariusz Andrzej

Antonoff, Mara Beth

Patel, Manish Kanubhai

Estrera, Anthony L.

Lemaire, Scott A.

Barron, Lauren K. M.