Organization Active NPI

Mavis Fujii Mdpa

  • Neuromuscular Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
National Provider Identifier
1174092100
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084N0008X
Legal business name
MAVIS FUJII MDPA
Practice address
18333 Egret Bay Blvd Ste 650
Houston, TX 77058-6405
Phone
(281) 333-9933
NPI assigned
Nov 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Karen Yates
Title
Director, Contracting
Phone
(713) 517-4022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0008X Primary

Addresses

Primary practice location

18333 Egret Bay Blvd Ste 650
Houston, TX 77058-6405

Mailing address

3802 Viecrest Dr
Pearland, TX 77584-5949
Phone (713) 517-4022

Other identifiers 1

IdentifierTypeStateIssuer
1013099399OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1174092100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 VIECREST DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845949",
            "telephone_number": "713-517-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586405",
            "telephone_number": "281-333-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVIS FUJII MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR, CONTRACTING",
        "authorized_official_telephone_number": "713-517-4022"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1013099399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.