Healthcare Provider Details
I. General information
NPI: 1992313407
Provider Name (Legal Business Name): FIZR MANAGEMANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2020
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1314 THREE FORKS DR
KATY TX
77450-4403
US
IV. Provider business mailing address
1314 THREE FORKS DR
KATY TX
77450-4403
US
V. Phone/Fax
- Phone: 920-786-7860
- Fax: 713-730-3632
- Phone: 920-786-7860
- Fax: 713-760-3632
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
IRFAN
CHOUDHARY
Title or Position: CFO
Credential:
Phone: 713-505-7775