Provider Demographics
NPI:1902454986
Name:GAMBLE, PAMELA (FNP-C)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:GAMBLE
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 1:350 N SAM HOUSTON PKWY E # B240
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3315
Mailing Address - Country:US
Mailing Address - Phone:832-457-4989
Mailing Address - Fax:
Practice Address - Street 1:350 N SAM HOUSTON PKWY E # B240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3315
Practice Address - Country:US
Practice Address - Phone:281-809-5470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily