| Doctor Name: | PAMELA PALMER |
| NPI Number: | 1003284688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | AP128868 |
| Business Practice Address: | 1507 Rivery Blvd Georgetown, TX - 786283058 |
| Business Phone Number: | 5125099550 |
| Business Fax Number: | |
| Mailing Address: | Po Box 844658, DALLAS |
| State: | TX |
| Postal Code: | 752844658 |
| Phone Number: | 5129224502 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2015 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP128868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |