Imran Fayaz, M.D., P.a.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

M1090 Issued in TX

Legal business name

IMRAN FAYAZ, M.D., P.A.

Practice address

500 Medical Center Blvd Ste 222
Conroe, TX 77304-2800

Phone

(281) 779-4030

Fax

(281) 419-9997

NPI assigned

Jul 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Imran Fayaz, M.D.NPI 1396717351

Title

Owner & President

Phone

(281) 779-4030

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Imran Fayaz, M.D.

  • Neurological Surgery Physician
  • Conroe, TX
  • NPI 1396717351
  Medicare reassignment NPD Authorized official
• Erica Kimberly Lindsay

  • Pediatrics Physician
  • Missouri City, TX
  • NPI 1699039669
  NPD
• Kareen Jacquelyn Smith, M.D

  • Pediatrics Physician
  • Missouri City, TX
  • NPI 1588922009
  NPD

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1518196930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131479",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773931479",
            "telephone_number": "281-779-4030",
            "fax_number": "281-419-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD STE 222",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042800",
            "telephone_number": "281-779-4030",
            "fax_number": "281-419-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMRAN FAYAZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "FAYAZ",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "OWNER & PRESIDENT",
        "authorized_official_telephone_number": "281-779-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M1090",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M1090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infinity & Beyond Therapy
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• Infusionmd
• Patricia Kathleen Innis

• Neurological Surgery Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.