Etai Funk MD Facs PA

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

Legal business name

ETAI FUNK MD FACS PA

Practice address

952 Echo LN Ste 140
Houston, TX 77024-2773

Phone

(713) 636-2757

Fax

(281) 888-4083

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Etai Funk, MDNPI 1013193895

Title

Ceo/President

Phone

(713) 501-9145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Etai Funk, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Houston, TX
  • NPI 1013193895
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1376853218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 ECHO LN STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242773",
            "telephone_number": "713-636-2757",
            "fax_number": "281-888-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 ECHO LN STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242773",
            "telephone_number": "713-636-2757",
            "fax_number": "281-888-4083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10575 Katy Fwy",
            "address_2": "230",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241013",
            "country_code": "US",
            "telephone_number": "713-636-2757",
            "fax_number": "281-888-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10575 Katy Fwy",
            "address_2": "230",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770241013",
            "country_code": "US",
            "telephone_number": "713-636-2757",
            "fax_number": "281-888-4083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ETAI FUNK MD FACS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "ETAI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "713-501-9145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edrei Elisa Estupinan, RN
• Jeron Estwick, CAA
• Harish Eswaran, MD
• Sridhar V K Eswaran, BDS., M.S., M.S.D
• Eta Labs
• Etb Surgical, PLLC
• Mikel Etchegaray-Langley, MD
• Shannon Marie Etcheverry, LCSW
• Peters Ako Etchu, NP
• Asia Eter, MD

• Otolaryngology/Facial Plastic Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.