MEDICARE: DR. PAMELA BREWER ATKINS 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	207Q00000X	Family Medicine Physician	J0429	TX

General Provider Information

NPI Number	:	1770884496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA BREWER ATKINS M.D.

Provider Business Mailing Address
First Line	:	2002 BINZ ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7502
Country	:	US
Telephone Number	:	713-520-9611
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 BINZ ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-7502
Country	:	US
Telephone Number	:	713-520-9611
Fax Number	:

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

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	11/11/2010

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