Organization
CARMEN PEMBERTON PLLC
Active
Organization
CARMEN PEMBERTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN LOREN PEMBERTON RN, MSN, FPMHNP (PSYCHIATRIC NURSE PRACTIONER)
(817) 416-7500
Entity
Organization
Contact information
Practice address
1135 S MAIN ST, GRAPEVINE, TX 76051-7533
(817) 416-7500
(817) 416-7565
Mailing address
1135 S MAIN ST, GRAPEVINE, TX 76051-7533
(817) 416-7500
(817) 416-7565
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
590614
TX
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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