Provider Demographics
NPI:1780933465
Name:PAUL-PATERNOSTRO, ALESHA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:ALESHA
Middle Name:MARIE
Last Name:PAUL-PATERNOSTRO
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 1:1100S FRIENDSWOOD DR B
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4825
Mailing Address - Country:US
Mailing Address - Phone:281-993-2122
Mailing Address - Fax:281-993-2123
Practice Address - Street 1:1100 S FRIENDSWOOD DR # B
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4825
Practice Address - Country:US
Practice Address - Phone:281-993-2122
Practice Address - Fax:281-993-2123
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor