Provider Demographics
NPI:1477247955
Name:WOODS, PASHELA NIESHON
Entity Type:Individual
Prefix:
First Name:PASHELA
Middle Name:NIESHON
Last Name:WOODS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PASHELA
Other - Middle Name:NIESHON
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8603 LAKESIDE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-2626
Mailing Address - Country:US
Mailing Address - Phone:346-774-5044
Mailing Address - Fax:
Practice Address - Street 1:8603 LAKESIDE FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-2626
Practice Address - Country:US
Practice Address - Phone:346-774-5044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier