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Individual

DR. PAMELA LOUISA MEDELLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1025 BIRDSONG DR STE C, BAYTOWN, TX 77521-3205
(281) 427-7298
(281) 427-3758
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
E8714
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8S3356
BLUE CROSS OF TX
TX
05
97689603
TX
05
97689604
TX
Enumeration date
06/03/2006
Last updated
04/17/2018
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