Provider Demographics
NPI:1336846484
Name:HELMLY, PAM MACHEMEHL (CN)
Entity Type:Individual
Prefix:
First Name:PAM
Middle Name:MACHEMEHL
Last Name:HELMLY
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HUNTERS CROSSING BLVD # 10-241
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3972
Mailing Address - Country:US
Mailing Address - Phone:888-257-9068
Mailing Address - Fax:888-236-9754
Practice Address - Street 1:22 LEICESTER DR
Practice Address - Street 2:
Practice Address - City:BELLA VISTA
Practice Address - State:AR
Practice Address - Zip Code:72714-4100
Practice Address - Country:US
Practice Address - Phone:512-350-1539
Practice Address - Fax:888-236-9754
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist