MEDICARE: PAMELA ANN DOBBS FNP-BC

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	363LF0000X	Family Nurse Practitioner	745094	TX

General Provider Information

NPI Number	:	1326388802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA ANN DOBBS FNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	800-994-0371
Fax Number	:	254-215-9722

Provider Business Practice Location Address
First Line	:	1296 ARRINGTON RD
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-8683
Country	:	US
Telephone Number	:	979-361-6200
Fax Number	:

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

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	04/11/2024

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