Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | AP125537 | TX |
NPI | 1023422300 |
---|---|
Provider Name | Pamela Jones Cope |
First Address | Dallas, TX 75231-3437 |
Second Address | Dallas, TX 75231-3437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2014 |
Last Update Date | 09/06/2015 |