Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | F7196 | TX |
NPI | 1013900141 |
---|---|
Provider Name | Dr. Pamela Ann St Amand |
First Address | Houston, TX 77266-6308 |
Second Address | Beaumont, TX 77702-1804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 30/08/2021 |