Provider Demographics
NPI:1053188953
Name:SHEPHERD, PAMELA BI
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:BI
Last Name:SHEPHERD
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 1:8018 OXFORDSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4665
Mailing Address - Country:US
Mailing Address - Phone:832-877-3280
Mailing Address - Fax:
Practice Address - Street 1:8018 OXFORDSHIRE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-4665
Practice Address - Country:US
Practice Address - Phone:832-877-3280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist