MEDICARE: DR. NESHA NIZAR PRASLA DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	2210	TX

General Provider Information

NPI Number	:	1497196273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NESHA NIZAR PRASLA DPM

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-4997
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 WILLIAMS TRACE BLVD STE 106
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4443
Country	:	US
Telephone Number	:	281-891-3668
Fax Number	:	713-583-2372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	09/14/2022

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