Organization Active NPI

Faniks Healthcare Professionals, LLC

  • Psychiatry Physician
  • Lubbock, TX
National Provider Identifier
1225828635
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
FANIKS HEALTHCARE PROFESSIONALS, LLC
Practice address
9508 Virginia Ave
Lubbock, TX 79424-7521
Phone
(510) 282-0933
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Andrew G. Faniku, MDNPI 1447485883
Title
Manager
Phone
(832) 741-0534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

9508 Virginia Ave
Lubbock, TX 79424-7521

Mailing address

9508 Virginia Ave
Lubbock, TX 79424-7521
Phone (832) 741-0534

Other names 3

  • Faniks Medical Doing business as
  • Faniks Medical Clinic Doing business as
  • Faniks Healthcare Professionals, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826000070 TX Part B Supplier - Clinic/Group Practice 1052811890 Receives reassigned benefits from 2 practitioners
Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1225828635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 VIRGINIA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247521",
            "telephone_number": "832-741-0534",
            "fax_number": "806-255-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 VIRGINIA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247521",
            "telephone_number": "510-282-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANIKS HEALTHCARE PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "FANIKU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-741-0534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faniks Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faniks Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faniks Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Faniks Healthcare Professionals, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.