Active NPI
Mitra Fazel, D.C
- Chiropractor
- Katy, TX
National Provider Identifier
1518330174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 07941
- Practice address
- 23116 Cinco Ranch Blvd
Katy, TX 77494-2891 - Phone
- (281) 347-4444
- Fax
- (281) 347-4445
- NPI assigned
- Nov 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 07941 | TX | Primary |
Addresses
Primary practice location
23116 Cinco Ranch Blvd
Katy, TX 77494-2891
Mailing address
23116 Cinco Ranch Blvd
Katy, TX 77494-2891
Phone (281) 347-4444
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1518330174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23116 CINCO RANCH BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774942891",
"telephone_number": "281-347-4444",
"fax_number": "281-347-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23116 CINCO RANCH BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774942891",
"telephone_number": "281-347-4444",
"fax_number": "281-347-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAZEL",
"first_name": "MITRA",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "07941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.