Pamela R Basom

NPI #1740411917 in Austin, Texas

Provider Information

NPI Number: 1740411917
Entity Type: Individual
Name: Pamela R Basom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Enumeration Date: Aug 5, 2009
Last Updated: Aug 5, 2009

Practice Location

Address: 5222 BURNET RD STE 400
City: Austin
State: Texas
ZIP Code: 78756-2432
Phone: (512) 302-4838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary

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