Most Relevant Information
Provider Data
| NPI Number: | 1003316647 |
| Provider Name: | PAMELA KEITH |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/20/2018 |
| Last Updated: | 02/20/2018 |
Provider Practice Location
201 BRYANT RD
CLYDE
TX
795104331
Practice Location Phone/Fax
| Phone: | 3255138047 |
| Fax: |
Provider Mailing Location
201 BRYANT RD
CLYDE
TX
795104331
Provider Mailing Phone/Fax
| Phone: | 3255138047 |
| Fax: |