Pamela Durham, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00776 Issued in TX

Practice address

1424 Brown TRL
Suite B
Bedford, TX 76022-6499

Phone

(817) 285-0622

Fax

(817) 285-7076

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acupuncture Wellness Center

  • Acupuncturist
  • Bedford, TX
  • NPI 1801073622
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275756066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 BROWN TRL",
            "address_2": "SUITE B",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226499",
            "telephone_number": "817-285-0622",
            "fax_number": "817-285-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 BROWN TRL",
            "address_2": "SUITE B",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226499",
            "telephone_number": "817-285-0622",
            "fax_number": "817-285-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajay K Dubey, M.D.
• Tricia Renee Dubois, B.S., SLP-ASSISTANT
• Ashni Dilish Dudhia, DO
• Michael J Duran, MD
• Durga Buchupally PLLC
• Madison Durocher, MS, LAT, ATC
• Amanda Dutro, APRN, FNP-C
• Chadley Carl Dzormeku, MD
• E S All Star Home Health Agency Inc
• Britton McFarland Eastburn, MD

• Acupuncturist in Bedford, TX
• Providers in Bedford, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.