Plake, Pamela Jean

Plake, Pamela Jean is an individual health care provider with primary practice located at 909 Ninth Ave Suite 300 , Fort Worth TX 76104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Plake, Pamela Jean can be contacted via phone (817) 336-7191.

Contact Information

Primary practice address
909 Ninth Ave Suite 300 Fort Worth TX 76104
Phone: (817) 336-7191
Fax: (817) 332-3172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00619 Texas

Profile Details

NPI number 1023018645
LBN Legal business name Plake, Pamela Jean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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