Individual
DR. PAMELIA FOWLER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234
(201) 916-8087
Mailing address
13239 TRENTWOOD, SAN ANTONIO, TX 78231-2256
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
22368
TX
Other
Enumeration date
11/18/2005
Last updated
08/08/2018
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