Individual provider Active NPI

Eliud A. Faz, MD

  • Child & Adolescent Psychiatry Physician
  • Laredo, TX
National Provider Identifier
1144339938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G0902 Issued in TX
Practice address
4001 McPherson Ave
Suite. 104
Laredo, TX 78041-5281
Phone
(956) 753-6797
Fax
(956) 753-6547
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X G0902 TX Primary

Addresses

Primary practice location

4001 McPherson Ave
Suite. 104
Laredo, TX 78041-5281

Mailing address

4001 McPherson Ave
Suite. 104
Laredo, TX 78041-5281
Phone (956) 753-6797

Other names 1

  • Eliud Aurelio Faz-Guevara Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000024 TX Practitioner - Psychiatry 5799769451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Specialists of Texas PLLC CurrentSince Jun 12, 2024 Accepting new patients
Coastal Plains Community MHMR Center Past Accepting new patients
Coastal Bend Psychiatric Associates P.a. Past Accepting new patients
Coastal Plains Community MHMR Center Past Accepting new patients

Locations

5440 Old Brownsville Rd
Corpus Christi, TX 78417
Phone (361) 452-1151

418 E Tyler Ave
Ste C
Harlingen, TX 78550
Phone (956) 292-9150

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144339938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MCPHERSON AVE",
            "address_2": "SUITE. 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415281",
            "telephone_number": "956-753-6797",
            "fax_number": "956-753-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MCPHERSON AVE",
            "address_2": "SUITE. 104",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415281",
            "telephone_number": "956-753-6797",
            "fax_number": "956-753-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZ",
        "first_name": "ELIUD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "G0902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIUD",
            "last_name": "FAZ-GUEVARA",
            "middle_name": "AURELIO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.