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NPI Code Detail

MEDICARE: MRS. PAMELA NICOLE ESTEVES LVN

MEDICARE: MRS. PAMELA NICOLE ESTEVES LVN
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
1164X00000XLicensed Vocational Nurse320774TX

General Provider Information

NPI Number : 1386144368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA NICOLE ESTEVES LVN
Provider Business Mailing Address
First Line : PO BOX 792252
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78279-2252
Country : US
Telephone Number : 210-902-0315
Fax Number :
Provider Business Practice Location Address
First Line : 3939 FREDERICKSBURG RD
Second Line : B12
City : SAN ANTONIO
State : TX
Zip : 78201-3271
Country : US
Telephone Number : 210-902-0315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2018
Last Update Date : 02/16/2018

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