Pamala Deniese McGowan, APRN
Nurse Practitioner, Family in Mexia, TX. Individual provider (NPI-1).
NPI number1962019653
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1962019653
- Entity type
- Individual (NPI-1)
- Name
- Pamala Deniese McGowan
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2020
- Certification date
- Dec 9, 2022
- Last updated
- Dec 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1094912 | TX | Yes |
| 163W00000X | Registered Nurse | 716074 | TX |
Practice location
600 S Bonham StMexia, TX 76667-3603
Phone 254-562-9321
Mailing address
650 Fm 2547Fairfield, TX 75840-5230
Phone 903-391-7900
Other practice locations
150 E Danieldale Rd
Desoto, TX 75115-2401
Desoto, TX 75115-2401
Phone 817-201-4155
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Family Nurse Practitioner providers in Mexia · All 171 providers in Mexia
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