Provider Demographics
NPI:1497843981
Name:WEEDMAN, PAMELA MEEKS (NP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:MEEKS
Last Name:WEEDMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15603 WILDWOOD TRACE
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-1873
Mailing Address - Country:US
Mailing Address - Phone:281-356-7240
Mailing Address - Fax:281-259-9629
Practice Address - Street 1:17030 NANES DR STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2500
Practice Address - Country:US
Practice Address - Phone:281-444-1770
Practice Address - Fax:281-444-4739
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX543255363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP50034Medicare ID - Type Unspecified