Individual
PAMELA TAMANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13737 NOEL RD, SUITE 1400, DALLAS, TX 75240-1331
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
690552
TX
390200000X
Student in an Organized Health Care Education/Training Program
690552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8404UL
BCBS
TX
01
—
P01542170
RR
TX
Enumeration date
07/30/2015
Last updated
12/22/2015
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