MEDICARE: FORTUNE PHI, PA

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1215945639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTUNE PHI, PA

Provider Business Mailing Address
First Line	:	1355 W GRAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-526-2904
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 W GRAY ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4019
Country	:	US
Telephone Number	:	713-526-2904
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SRIDHAR SISTA
Credential	:
Telephone Number	:	713-526-2904

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	04/16/2020

Similar Medicare Providers

1881524064 — FALCON ANESTHESIA AND PAIN SERVICES
Practice Location Address:

1355 W GRAY ST STE 102
HOUSTON, TX
77019-4019

Practice Phone: 713-829-6021
Practice Fax: 281-833-3323

1083847594 — MS. LAURA JA'NEE BARTON L.M.T.
Practice Location Address:

1355 W GRAY ST
HOUSTON, TX
77019-4019

Practice Phone: 713-476-1440
Practice Fax: 713-526-2191

1881915650 — DR. SRIDHAR SISTA D.D.S.
Practice Location Address:

1355 W GRAY ST
HOUSTON, TX
77019-4019

Practice Phone: 713-526-2904
Practice Fax:

1194017277 — MIGRAINE RELIEF CENTER
Practice Location Address:

1355 W GRAY ST
HOUSTON, TX
77019-4019

Practice Phone: 713-522-5111
Practice Fax: 713-522-6111

1639507189 — PINNACLE HAND SURGERY GROUP, PA
Practice Location Address:

1355 W GRAY ST , STE B
HOUSTON, TX
77019-4019

Practice Phone: 713-522-5111
Practice Fax: 713-522-6111

1871921031 — JOSEPH DANG MD, PA
Practice Location Address:

1355 W GRAY ST , STE B
HOUSTON, TX
77019-4019

Practice Phone: 713-522-5111
Practice Fax: 713-522-6111

Directions to “FORTUNE PHI, PA ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.