Active NPI
David Fiscu, CNA
- Assisted Living Facility
- Magnolia, TX
National Provider Identifier
1629387485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 128689
- Practice address
- 13715 Stagecoach Rd
Magnolia, TX 77355-3859 - Phone
- (281) 259-8979
- Fax
- (832) 934-0172
- NPI assigned
- Sep 28, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 128689 | TX | Primary |
Addresses
Primary practice location
13715 Stagecoach Rd
Magnolia, TX 77355-3859
Mailing address
13715 Stagecoach Rd
Magnolia, TX 77355-3859
Phone (281) 259-8979
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 |
|---|---|---|---|
| 128689 | TX | MD | Assisted Living Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1629387485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13715 STAGECOACH RD",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773553859",
"telephone_number": "281-259-8979",
"fax_number": "832-934-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13715 STAGECOACH RD",
"city": "MAGNOLIA",
"state": "TX",
"postal_code": "773553859",
"telephone_number": "281-259-8979",
"fax_number": "832-934-0172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCU",
"first_name": "DAVID",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TX",
"license": "128689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Magnolia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.