Provider Demographics
NPI:1851608590
Name:MURRAY, PAMELA NIMMO (PA-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:NIMMO
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 COIT RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6989
Mailing Address - Country:US
Mailing Address - Phone:972-769-8180
Mailing Address - Fax:
Practice Address - Street 1:5805 COIT RD
Practice Address - Street 2:SUITE 203
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6989
Practice Address - Country:US
Practice Address - Phone:972-769-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA05072363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical