Healthcare Provider Details

I. General information

NPI: 1538051628
Provider Name (Legal Business Name): FAISAL BA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13440 UNIVERSITY BLVD STE 100
SUGAR LAND TX
77479-4907
US

IV. Provider business mailing address

4700 SETON CENTER PKWY STE 115
AUSTIN TX
78759-5753
US

V. Phone/Fax

Practice location:
  • Phone: 832-500-8135
  • Fax: 833-521-2186
Mailing address:
  • Phone: 346-440-0644
  • Fax: 346-478-0182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA19433
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA19433
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: