MEDICARE: MS. PAULA ANGELI DODD

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1598997926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAULA ANGELI DODD

Provider Business Mailing Address
First Line	:	10101 HARWIN DR STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1721
Country	:	US
Telephone Number	:	832-725-9418
Fax Number	:	713-484-5474

Provider Business Practice Location Address
First Line	:	10101 HARWIN DR STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1721
Country	:	US
Telephone Number	:	832-725-9418
Fax Number	:	713-484-5474

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

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	08/18/2009

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