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Contact Information

PAMELA J PLAKE, P.A.-C
909 NINTH AVE SUITE 300
FORT WORTH, TX76104
 Phone: 817-336-7191
 Fax: 817-332-3172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAMELA J PLAKE · (Female)

NPI Number 1023018645
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 07/26/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 00619
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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