Pamela A Roach, DO, PHD | |
6340 Lake Worth Blvd, #141, Lake Worth, TX 76135-3602 | |
(817) 882-8700 | |
Not Available |
Full Name | Pamela A Roach |
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Gender | Female |
Speciality | Family Medicine |
Location | 6340 Lake Worth Blvd, Lake Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417077801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H2346 (Texas) | Primary |
2083X0100X | Preventive Medicine - Occupational Medicine | H2346 (Texas) | Secondary |
Entity Name | Skilled Facility Health Care Solutions Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20120530000296 |
Mailing Address | Practice Location Address |
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Pamela A Roach, DO, PHD 6340 Lake Worth Blvd, #141, Lake Worth, TX 76135-3602 Ph: () - | Pamela A Roach, DO, PHD 6340 Lake Worth Blvd, #141, Lake Worth, TX 76135-3602 Ph: (817) 882-8700 |
Rachael Kendra Dabelic, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3914 Telephone Rd, Lake Worth, TX 76135 Phone: 817-238-0109 Fax: 817-238-0647 | |
Jennifer Nguyen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3914 Telephone Rd, Lake Worth, TX 76135 Phone: 817-238-0109 Fax: 817-238-0647 |