Healthcare Provider Details
I. General information
NPI: 1427495845
Provider Name (Legal Business Name): SARA FAIZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/24/2013
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6431 FANNIN ST
HOUSTON TX
77030
US
IV. Provider business mailing address
ONE BAYLOR PLAZA 286A
HOUSTON TX
77030-3411
US
V. Phone/Fax
- Phone: 713-500-5302
- Fax: 713-500-0712
- Phone: 713-948-7000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207ZP0102X |
| Taxonomy | Anatomic Pathology & Clinical Pathology Physician |
| License Number | S1089 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: