Provider Demographics
NPI:1033447297
Name:OUZTS, PAMELA B
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:B
Last Name:OUZTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2022
Mailing Address - Country:US
Mailing Address - Phone:281-332-3445
Mailing Address - Fax:281-332-3482
Practice Address - Street 1:1088 W MAIN ST
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2022
Practice Address - Country:US
Practice Address - Phone:281-332-3445
Practice Address - Fax:281-332-3482
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist