Provider Demographics
NPI:1730941923
Name:JAMES, PAMELA LASHELL
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:LASHELL
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 N TOWN EAST BLVD STE 138
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4142
Mailing Address - Country:US
Mailing Address - Phone:214-624-0603
Mailing Address - Fax:
Practice Address - Street 1:1909 BRIARGATE LN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2428
Practice Address - Country:US
Practice Address - Phone:214-624-0603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist