Active NPI
Wafaa Y Farag, MD
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1205894920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L3638
- Practice address
- 7707 Fannin St
Suite 205
Houston, TX 77054-1926 - Phone
- (713) 790-0745
- Fax
- (713) 790-1302
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L3638 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | L3638 | TX |
Addresses
Primary practice location
7707 Fannin St
Suite 205
Houston, TX 77054-1926
Mailing address
PO Box 20669
Houston, TX 77225-0669
Phone (713) 790-0745
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1501496-03 | Medicaid | TX | |
| 150149602 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L3638 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Medicine Center LLC | Psychiatry | Past | Accepting new patients |
| The Harris Center for Mental Health and Idd | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Houston, TX
- NPI 1063470912
-
- Community/Behavioral Health Agency
- Houston, TX
- NPI 1346293156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212019200000",
"number": "1205894920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20669",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772250669",
"telephone_number": "713-790-0745",
"fax_number": "713-790-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 FANNIN ST",
"address_2": "SUITE 205",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541926",
"telephone_number": "713-790-0745",
"fax_number": "713-790-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARAG",
"first_name": "WAFAA",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2008-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L3638",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "L3638",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1501496-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "150149602",
"state": "TX"
}
],
"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 May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.