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NPI Code Detail

MEDICARE: AISHA ODELL P.A.

MEDICARE: AISHA ODELL P.A.
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1881066421
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHA ODELL P.A.
Provider Business Mailing Address
First Line : 427 W 20TH ST STE 302
Second Line :
City : HOUSTON
State : TX
Zip : 77008-2429
Country : US
Telephone Number : 713-802-1300
Fax Number : 713-756-8207
Provider Business Practice Location Address
First Line : 427 W 20TH ST STE 302
Second Line :
City : HOUSTON
State : TX
Zip : 77008-2429
Country : US
Telephone Number : 713-802-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 01/20/2026

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Directions to “ AISHA ODELL P.A.” Practice Location

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