Angela Fair

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ANGELA FAIR

Doing business as

Angela Fair

Practice address

24102 Stargazer PT
Spring, TX 77373-7898

Phone

(713) 365-0429

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Angela Fair

Title

Owner

Phone

(713) 365-0429

Specialties & licenses 1

Addresses

Other names 1

• Angela Fair Doing business as

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568512796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24102 STARGAZER PT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737898",
            "telephone_number": "713-365-0429",
            "fax_number": "713-365-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24102 STARGAZER PT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737898",
            "telephone_number": "713-365-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA FAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-365-0429"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Fair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Preferred Provider Organization in Spring, TX
• Providers in Spring, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.