Individual
PAMELA R BASOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5222 BURNET RD STE 400, AUSTIN, TX 78756-2432
(512) 302-4838
(512) 302-4268
Mailing address
5222 BURNET RD STE 400, AUSTIN, TX 78756-2432
(512) 302-4838
(512) 302-4268
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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