Pamatmat, Stephen D

Pamatmat, Stephen D is an individual health care provider with primary practice located at 1133 Medical Dr , Tyler TX 75701-2130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pamatmat, Stephen D can be contacted via phone (903) 595-5486.

Contact Information

Primary practice address
1133 Medical Dr Tyler TX 75701-2130
Fax: (903) 595-5128
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34363 Oklahoma
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X L5083 Texas

Profile Details

NPI number 1184773780
LBN Legal business name Pamatmat, Stephen D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Apr 28th, 2023 - about 2 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 1184773780 NPPES
Oklahoma MEDICAID 200214980 A
Oklahoma MEDICAID 152736802

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