Provider Demographics
NPI:1790331825
Name:BELL, P'SHA (DC)
Entity Type:Individual
Prefix:DR
First Name:P'SHA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2410 TANGLEY ST STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2514
Mailing Address - Country:US
Mailing Address - Phone:832-791-9977
Mailing Address - Fax:
Practice Address - Street 1:2410 TANGLEY ST STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2514
Practice Address - Country:US
Practice Address - Phone:832-791-9977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-14
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor