Fast Track Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FAST TRACK MEDICAL CENTER

Practice address

3810 Vinson Ranch LN
Katy, TX 77494-3754

Phone

(818) 571-8708

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kessington Enaye Okundaye, PHD

Title

Managing Partner

Phone

(818) 571-8708

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1306454509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 VINSON RANCH LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943754",
            "telephone_number": "818-571-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 VINSON RANCH LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943754",
            "telephone_number": "818-571-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST TRACK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "OKUNDAYE",
        "authorized_official_first_name": "KESSINGTON",
        "authorized_official_middle_name": "ENAYE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "818-571-8708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree A Farthing
• Myra Rafi Faruki, PA-C
• Motunrayo Fasakin
• Ayomide Fasalojo
• Sarah Fasfassian, PHARMD
• Fast Twitch Athletic Wellness, LLC
• Israel Fatade
• Huzaifa Fattah
• Hallie Rose Fautt, RBT
• Pavel Jesus Faxas del Toro, RN

• Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.