Healthcare Provider Details
I. General information
NPI: 1134308521
Provider Name (Legal Business Name): PAMELA A HOWARD SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/01/2007
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9940 W SAM HOUSTON PKWY S SUITE 320
HOUSTON TX
77099-5305
US
IV. Provider business mailing address
3620 N JOSEY LN
CARROLLTON TX
75007-3157
US
V. Phone/Fax
- Phone: 713-364-4654
- Fax: 469-575-3002
- Phone: 713-364-4654
- Fax: 469-575-3002
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 14602 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: