Individual
DR. PAMELA A MCQUILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1330 E 8TH ST STE 420, ODESSA, TX 79761-4733
(432) 580-9191
(949) 862-7691
Mailing address
1330 E 8TH ST STE 420, ODESSA, TX 79761-4733
(432) 580-9191
(949) 862-7691
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L1389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075JE
BLUE CROSS BLUE SHIELD
TX
01
—
131487101
FIRSTCARE
TX
05
—
150797201
—
TX
Enumeration date
05/23/2005
Last updated
12/09/2015
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