Physician Compare National (NPI:1467498642)

HEALTHCARE PROVIDER: FAYAZ FAIZ MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467498642
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5991717910
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110111000055
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FAIZ
	Individual professional last name
Provider First Name	FAYAZ
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1971
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	11760 FM 1960 RD W
	Group Practice or individual's line 1 address
City	HOUSTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	770653514
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	670075
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST LUKE'S HOSPITAL AT THE VINTAGE
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450775
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	KINGWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	450184
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MEMORIAL HERMANN HOSPITAL SYSTEM
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y