Active NPI
Carl Emil Fasser, PA
- Physician Assistant
- Houston, TX
National Provider Identifier
1992027874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00114
- Practice address
- 11929 East Fwy Ste D
Houston, TX 77029-2026 - Phone
- (713) 637-8665
- Fax
- (713) 637-8658
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- 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 | PA00114 | TX | Primary |
Addresses
Primary practice location
11929 East Fwy Ste D
Houston, TX 77029-2026
Mailing address
11929 East Fwy Ste D
Houston, TX 77029-2026
Phone (713) 637-8665
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00114 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I-10 Family Clinic | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1992027874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11929 EAST FWY STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770292026",
"telephone_number": "713-637-8665",
"fax_number": "713-637-8658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11929 EAST FWY STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770292026",
"telephone_number": "713-637-8665",
"fax_number": "713-637-8658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASSER",
"first_name": "CARL",
"middle_name": "EMIL",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.