Individual
DR. PAMELA M. M. WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6900 SCENIC DR, STE 103, ROWLETT, TX 75088-2695
(972) 412-1034
(972) 475-5708
Mailing address
6900 SCENIC DR, STE 103, ROWLETT, TX 75088-2695
(972) 412-1034
(972) 475-5708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
H5091
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83240S
BLUE CROSS/BLUE SHIELD TX
TX
Enumeration date
06/01/2005
Last updated
07/08/2007
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