MEDICARE: PAMELA D BERENS M.D.

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	207V00000X	Obstetrics & Gynecology Physician	J4714	TX

General Provider Information

NPI Number	:	1508891961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA D BERENS M.D.

Provider Business Mailing Address
First Line	:	6431 FANNIN
Second Line	:	MSB 3.286
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	713-500-6471
Fax Number	:	713-500-0508

Provider Business Practice Location Address
First Line	:	6500 WEST LOOP S STE 200D
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3535
Country	:	US
Telephone Number	:	713-486-9300
Fax Number	:	713-486-9301

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/21/2024

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Directions to “ PAMELA D BERENS M.D.” Practice Location

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