Pamela Jean Plake, P.A.-C

NPI #1023018645 in Fort Worth, Texas

Provider Information

NPI Number
1023018645
Entity Type
Individual
Name
Pamela Jean Plake, P.A.-C
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physician Assistant
Credential
P.A.-C
Enumeration Date
Jul 26, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
909 NINTH AVE SUITE 300
State
Texas
ZIP Code
76104
Phone
(817) 336-7191

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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