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Individual

PAMELA COLLEEN DEORNELLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, FNP-BC

Contact information

Practice address
6202 HARRY HINES BLVD, MAILCODE 8574, DALLAS, TX 75235
(214) 645-4673
Mailing address
6202 HARRY HINES BLVD, MAILCODE 8574, DALLAS, TX 75235
(214) 645-4673

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
1091532
TX
363L00000X
Nurse Practitioner
Primary
2016029744
MO

Other

Enumeration date
08/18/2016
Last updated
02/04/2026
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