Pamela Marie Bryant

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

173633 Issued in TX

Practice address

188 Private Road 7270
San Augustine, TX 75972-5660

Phone

(936) 219-5893

NPI assigned

May 15, 2018

Last updated

May 15, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1194215178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 PRIVATE ROAD 7270",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759725660",
            "telephone_number": "936-219-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PRIVATE ROAD 7270",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759725660",
            "telephone_number": "936-219-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "173633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care San Augustine Dialysis Center)
• Lindsey Blackshear, COTA
• Bright Dental Studio PLLC
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Deganda Brown
• Erica Dominique Clack
• Maegan Lynn Coats, COTA
• Barbara Lynn Cole, OTA
• Jeannine Cullum, DDS
• D & H Enterprises (El Camino House Assisted Living)

• Licensed Vocational Nurse in San Augustine, TX
• Providers in San Augustine, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.