MEDICARE: CRISTO FAIX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2355S0801X	Speech-Language Assistant	39540	TX

General Provider Information

NPI Number	:	1023550290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTO FAIX

Provider Business Mailing Address
First Line	:	110 GRAY ST UNIT 4161
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8689
Country	:	US
Telephone Number	:	787-362-6463
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 GRAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-8500
Country	:	US
Telephone Number	:	713-771-8444
Fax Number	:	713-771-0977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2016
Last Update Date	:	01/31/2019

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Directions to “ CRISTO FAIX ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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