Active NPI
Fraidelys Faure Rodriguez, SA-C , IMG
- Surgical Assistant
- Spring, TX
National Provider Identifier
1417459579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 17-633
- Practice address
- 24115 Stargazer PT
Spring, TX 77373-7899 - Phone
- (281) 662-6609
- NPI assigned
- Mar 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 17-633 | TX | Primary |
Addresses
Primary practice location
24115 Stargazer PT
Spring, TX 77373-7899
Mailing address
24115 Stargazer PT
Spring, TX 77373-7899
Phone (281) 662-6609
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-633 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1417459579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24115 STARGAZER PT",
"city": "SPRING",
"state": "TX",
"postal_code": "773737899",
"telephone_number": "281-662-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24115 STARGAZER PT",
"city": "SPRING",
"state": "TX",
"postal_code": "773737899",
"telephone_number": "281-662-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAURE RODRIGUEZ",
"first_name": "FRAIDELYS",
"credential": "SA-C , IMG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "17-633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
- Fattah PLLC
- Marwan Mazin Fattouhi, DDS, MSD, FACP
- Oluwabankole Oluwakayode Fatubaro
- Erik Lee Faught Jr.
- Anna Marie Faulkenberry, APRN-CNP
- Renee Marie Fauria, EDD.,LPC-S
- Faz Eyecare (Texas State Optical - Spring)
- Alnaz Fazlalizadeh, O.D.
- Feather Wing Counseling, PLLC
- Kristina Gisela Featherston, MS, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.