Individual
MRS. PAMELA KEY VINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.N., B.A., R.N.
Contact information
Practice address
1101 S MAIN ST, FORT WORTH, TX 76104-4802
(817) 321-4867
(817) 321-4818
Mailing address
1101 S MAIN ST, FORT WORTH, TX 76104-4802
(817) 321-4867
(817) 321-4818
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
707800
TX
Other
Enumeration date
01/27/2014
Last updated
01/30/2014
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