Provider Demographics
NPI:1083930531
Name:PAMELA NURENBERG, M.D., P.A.
Entity Type:Organization
Organization Name:PAMELA NURENBERG, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NURENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-303-1295
Mailing Address - Street 1:2525 N PEARL ST APT 1604
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-2236
Mailing Address - Country:US
Mailing Address - Phone:214-303-1295
Mailing Address - Fax:214-303-1295
Practice Address - Street 1:2525 N PEARL ST APT 1604
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-2236
Practice Address - Country:US
Practice Address - Phone:214-303-1295
Practice Address - Fax:214-303-1295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH11662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty