DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DESTRE WADE PICKENS, ATC

Active

MR. DESTRE WADE PICKENS, ATC is a Athletic Trainer healthcare provider located in SHERMAN, Texas. NPI 1194786269 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SHERMAN, TX

Registration Details

NPI Number
1194786269
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2006 (20.343349361099 yrs)
Last Updated
Jul 8, 2007
License
AT3185 (TX)

Practice Information

Address
900 N GRAND AVE
SUITE 6A
SHERMAN, TX, 750904440
Browse TX providers · Browse ZIP 75090
Phone
9038132514
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in SHERMAN, TX

Name Credential NPI
AMANDA PARSLEY MS, ATC, LAT 1063612141
EVAN GUMPERT MS ED ATC, LAT 1679980056
MARK STINE ATC, LAT 1851791057
MELANEY CARD ATC, LAT 1629479118
CHELSEA BROOKE HOELTZEL ATC 1609353960
DUSTIN PAUL GREEN 1740760974
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.