Individual
MS. PAMALA GAIL DREVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
6104 WEST OAKS CIRCLE S, PEARLAND, TX 77584
(254) 681-2227
Mailing address
6104 WEST OAKS CIRCLE S, PEARLAND, TX 77584
(254) 681-2227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
254755
TX
363LA2100X
Acute Care Nurse Practitioner
254755
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659620730
TRICARE
TX
01
—
182797400
DEPARTMENT OF LABOR
TX
05
—
312319201
—
TX
01
—
760555765
UNITED HEALTHCARE
TX
01
—
881N40
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
09/05/2012
Last updated
04/09/2013
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