Pamela Jean Plake P.A.-C

NPI 1023018645 - Physician Assistant - 363A00000X

NPI Details
NPI 1023018645
Gender Female
Enumeration Date 07/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
909 NINTH AVE SUITE 300
FORT WORTH TX, 76104, US
Phone (817) 336-7191
Fax (817) 332-3172
Business Location
909 NINTH AVE SUITE 300
FORT WORTH TX, 76104-3917, US
Phone (817) 336-7191
Fax (817) 332-3172
Toxanomy
Taxonomy Code 363A00000X
License State Texas
License Number 00619
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According to our database, Pamela Jean Plake P.A.-C NPI is 1023018645, taxonomy code is 363A00000X and license number is 00619, license state is located at Texas. Pamela Jean Plake P.A.-C physically located at 909 Ninth Ave Suite 300, Fort Worth TX, 76104. NPI Number Pamela Jean Plake P.A.-C has the Individual type.

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1023018645 NPI number is provided on an as is basis without warranty of any kind. 1023018645 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela Jean Plake P.A.-C are for informational purposes only.