NPI | 1265413256 |
---|---|
Other Name | PAMELA C HESTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M0199) |
Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TX M0199) |
Enumeration Date | 2005-11-08 |
Last Update Date | 2012-10-26 |