MEDICARE: PAMELA A PROMECENE-COOK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	J4453	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	88Y716	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1346273026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA A PROMECENE-COOK M.D.

Provider Business Mailing Address
First Line	:	6410 FANNIN, SUITE 250
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	832-325-7131
Fax Number	:	713-512-2216

Provider Business Practice Location Address
First Line	:	6500 WEST LOOP S STE 200D
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3535
Country	:	US
Telephone Number	:	832-325-7131
Fax Number	:	713-512-2216

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	03/12/2024

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Directions to “ PAMELA A PROMECENE-COOK M.D.” Practice Location

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