FARNOUSH F. FAEZ-REZVANI (NPI# 1881642940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881642940 |
| Entity Type | Individual |
| Full Name | FARNOUSH F. FAEZ-REZVANI |
| Credential | DPM |
| Practice Address |
1450 W. Grand Pkwy. S. G-120 Katy TX 77494-8300 |
| Practice Telephone | 8669503627 |
| Practice Fax Number | 8006528206 |
| Mailing Telephone | 8669503627 |
| Mailing Fax Number | 8006528206 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1724 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 173402202 | 05 | |
| TX | BCBS | 0001MR | 01 |
| TX | 173402201 | 05 | |
| TX | 173402203 | 05 | |
| TX | 173402205 | 05 | |
| TX | 173402206 | 05 | |
| TX | RAIL RD. MEDICARE | P00452024 | 01 |
| Street Address |
1450 W. GRAND PKWY. S. G-120 |
| City | KATY |
| State | TX |
| Zip Code | 77494-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316212293 | Foot & Ankle Institute of Texas | Podiatrist | 705 S. Fry Rd., 215, Katy, TX 77450 | 2012-03-12 |
| 1710147681 | Podiatry Consultants of Texas Inc | Podiatrist | 1450 W Grand Pkwy S # G-120, Katy, TX 77494-8286 | 2008-06-13 |
| 1043494586 | Physician Specialty Care Services | Podiatrist | 1326 Pin Oak Rd, Katy, TX 77494-6848 | 2007-12-19 |
| 1538277470 | Scott Cameron Burdge | Podiatrist | 21524 Kingsland Blvd, Katy, TX 77450-6183 | 2006-08-29 |
| 1114935350 | Maria J Sandoval | Podiatrist | 1331 W Grand Pkwy N Ste 140, Katy, TX 77493-2711 | 2006-08-03 |
| 1821032269 | Dawn Marie Williams-diggins | Podiatrist | 1331 W Grand Pkwy N Ste 145, Katy, TX 77493-2736 | 2006-06-16 |
| 1043269152 | Iwona L Ciba | Podiatrist | 25722 Kingsland Blvd, Ste 201b, Katy, TX 77494-6705 | 2006-05-08 |
| 1295783488 | John Ross Ritter | Podiatrist | 1450 W Grand Pkwy S, #g-120, Katy, TX 77494-8286 | 2006-05-04 |
| 1639161870 | Ngoc-loan Khoa Nguyen | Podiatrist | 19121 W Little York Rd, Ste A, Katy, TX 77449-5841 | 2005-08-15 |
| 1588918064 | The Best Foot Forward, Pllc | Podiatrist | 22503 Katy Fwy, Katy, TX 77450-1512 | 2012-11-05 |
| Find all providers in KATY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.