Individual
PAMELA NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2248 COUNTY ROAD 387, HALLETTSVILLE, TX 77964-5725
(713) 819-5268
Mailing address
2248 COUNTY ROAD 387, HALLETTSVILLE, TX 77964-5725
(713) 819-5268
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
G8634
TX
2084N0400X
Neurology Physician
Primary
01081580A
IN
2084N0400X
Neurology Physician
G8634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048562504
—
TX
05
—
048562505
—
TX
01
—
8AE978
BLUE CROSS BLUE SHIELD
TX
01
—
8R9877
BLUE CROSS BLUE SHIELD
TX
01
—
8S4533
BLUE CROSS BLUE SHIELD
TX
01
—
P00442041
RAILROAD MEDICARE
TX
Enumeration date
07/02/2006
Last updated
01/11/2021
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