MEDICARE: PAMELA SMITH METOYER N.P.

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	363L00000X	Nurse Practitioner	551891	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	551891	OTHER	TX	R.N. NURSE PRACTITIONER

General Provider Information

NPI Number	:	1790938108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA SMITH METOYER N.P.

Provider Business Mailing Address
First Line	:	11602 PARK FALLS CT
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7219
Country	:	US
Telephone Number	:	832-814-3883
Fax Number	:

Provider Business Practice Location Address
First Line	:	14455 CULLEN BLVD
Second Line	:	SUITE C-2
City	:	HOUSTON
State	:	TX
Zip	:	77047-4800
Country	:	US
Telephone Number	:	713-734-0700
Fax Number	:	713-734-2394

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

Provider Enumeration Date	:	10/29/2008
Last Update Date	:	10/29/2008

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Directions to “ PAMELA SMITH METOYER N.P.” Practice Location

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