Healthcare Provider Details

I. General information

NPI: 1104062165
Provider Name (Legal Business Name): PAMELA CURTIS M.ED.,L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2008
Last Update Date: 04/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 BUSBY DR
SAN ANTONIO TX
78209-1116
US

IV. Provider business mailing address

515 BUSBY DR
SAN ANTONIO TX
78209-1116
US

V. Phone/Fax

Practice location:
  • Phone: 210-826-7447
  • Fax:
Mailing address:
  • Phone: 210-826-7447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number62022
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: