Frederick, Pamela Gail

Frederick, Pamela Gail is an individual health care provider with primary practice located at 510 E Clinton Ave , Athens TX 75751-3410. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Frederick, Pamela Gail can be contacted via phone (903) 677-1000.

Contact Information

Primary practice address
510 E Clinton Ave Athens TX 75751-3410
Phone: (903) 677-1000
Fax: (903) 677-5586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 251482 Texas

Profile Details

NPI number 1073503009
LBN Legal business name Frederick, Pamela Gail
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Dec 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073503009 NPPES
Texas MEDICAID 1097172-02

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