NPI Code Details Logo

NPI 1770494593

NPI 1770494593 : EVOLVING AND EMERGING U PLLC : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1770494593
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EVOLVING AND EMERGING U PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/14/2026
-----------------------------------------------------
    Last Update Date     |    09/14/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8313 SOUTHWEST FWY STE 320B 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77074-1656
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    346-541-8588
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11519 STANCLIFF RD 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77099-4132
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    346-541-8588
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PHYSICIAN ASSISTANT
-----------------------------------------------------
    Name                 |     FATMATA  KAIKAI 
-----------------------------------------------------
    Credential           |    PA-C
-----------------------------------------------------
    Telephone            |    346-541-8588
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.