Dr. Pamela Carol Petersen
Pediatrician Pediatric Critical Care Doctor
6651 Main St
Houston
, Texas 77030
Dr. Pamela Carol Petersen
Pediatrician Pediatric Critical Care Doctor
6651 Main St
Houston
, Texas 77030
(832) 826-4431
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Pamela Carol Petersen
- 6651 Main St
- Houston, TX
- Zip : 77030-2351
- Phone : (832) 826-4431
Second Address
- Dr. Pamela Carol Petersen
- 6651 Main St
- Houston, TX
- Zip : 77030
- Phone : (832) 826-4431
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 63560-20 | WI |
| Y | 2080P0203X | Pediatric Critical Care Doctor | R7563 | TX |
National Provider Identifier
| NPI | 1285999185 |
|---|---|
| Provider Name | Dr. Pamela Carol Petersen |
| First Address | Houston, TX 77030-2351 |
| Second Address | Houston, TX 77030 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2012 |
| Last Update Date | 19/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.