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Individual

DR. PAMELA CAROL PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6651 MAIN ST, HOUSTON, TX 77030
(832) 826-4431
Mailing address
6651 MAIN ST, HOUSTON, TX 77030-2351
(832) 826-4431

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
63560-20
WI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
R7563
TX

Other

Enumeration date
07/07/2012
Last updated
11/19/2018
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