Active NPI
Myra Rafi Faruki, PA-C
- Physician Assistant
- Katy, TX
National Provider Identifier
1942746953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10519
- Practice address
- 21003 Highland Knolls Drive
Suite 300 (Suite 103)
Katy, TX 77450 - Phone
- (832) 600-1907
- NPI assigned
- Jan 13, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10519 | TX | Primary |
Addresses
Primary practice location
21003 Highland Knolls Drive
Suite 300 (Suite 103)
Katy, TX 77450
Mailing address
21003 Highland Knolls Drive
Suite 300 (Suite 103)
Katy, TX 77450
Phone (832) 600-1907
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 |
|---|---|---|---|
| PA10519 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1942746953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21003 HIGHLAND KNOLLS DRIVE",
"address_2": "SUITE 300 (SUITE 103)",
"city": "KATY",
"state": "TX",
"postal_code": "77450",
"telephone_number": "832-600-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21003 HIGHLAND KNOLLS DRIVE",
"address_2": "SUITE 300 (SUITE 103)",
"city": "KATY",
"state": "TX",
"postal_code": "77450",
"telephone_number": "832-600-1907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARUKI",
"first_name": "MYRA",
"middle_name": "RAFI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-13",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA10519",
"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 Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.