Provider Demographics
NPI:1043532344
Name:CABLE, PAMELA LOUISE (FNP-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:LOUISE
Last Name:CABLE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 MEADOW GLENN DR
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-7009
Mailing Address - Country:US
Mailing Address - Phone:832-315-0875
Mailing Address - Fax:
Practice Address - Street 1:6807 EMMETT F LOWRY EXPY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591-2546
Practice Address - Country:US
Practice Address - Phone:409-908-9345
Practice Address - Fax:409-908-9328
Is Sole Proprietor?:No
Enumeration Date:2010-02-28
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX650935363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily