MIGUEL GERARDO FABREGA (NPI# 1013187889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013187889 |
| Entity Type | Individual |
| Full Name | MIGUEL GERARDO FABREGA |
| Credential | M.D |
| Practice Address |
6411 Fannin St Houston TX 77030-1501 |
| Mailing Address |
6431 Fannin St Msb 2.130 Houston TX 77030-1501 |
| Practice Telephone | 7165007700 |
| Mailing Telephone | 7135007640 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
P3318 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1005371 | 05 | |
| TX | 321322501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6431 Fannin St, Msb 2.130, Houston, TX 770301501 | 7135007640 |
| Street Address |
6411 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512513 | Steven B. Eisenberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6411 Fannin St, Houston, TX 77030-1501 | 2005-07-18 |
| 1447867411 | Jordan Lee Garcia | Physician Assistant | 6411 Fannin St, Houston, TX 77030-1501 | 2020-09-24 |
| 1639780042 | Sven Asmussen | Anesthesiology | 6411 Fannin St, Houston, TX 77030-1501 | 2020-08-11 |
| 1326657289 | Beatrice E Akpanumoh | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-27 |
| 1992313217 | Tyree Pasini | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-22 |
| 1942818265 | Kandyce Lynn Jones | Registered Nurse | 6411 Fannin St, Houston, TX 77030-1501 | 2020-07-22 |
| 1326661620 | Kelbie Jo Kerr | Anesthesiology | 6411 Fannin St, Houston, TX 77030-1501 | 2020-05-20 |
| 1902426323 | Jennifer Benson Scales | Nurse Practitioner | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-26 |
| 1457980880 | Rocky Rodriguez | Nurse Practitioner | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-07 |
| 1629607106 | Emily Harlos | Student in an Organized Health Care Education/Training Program | 6411 Fannin St, Houston, TX 77030-1501 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1578065967 | Erika G. L. C. Odisio | Radiology | 1400 Pressler St # 145084, Houston, TX 77030-3722 | 2018-03-02 |
| 1841798527 | Icgh - Imaging Centers of Greater Houston LLC | Radiology | 6300 Richmond Ave Ste 104, Houston, TX 77057-5931 | 2018-01-26 |
| 1528597580 | Mayur Kundan Virarkar | Radiology | 1515 Holcombe Blvd Unit 1459, Houston, TX 77030-4000 | 2017-06-05 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1881139566 | Radiology Partners of Iowa Inc | Radiology | 7600 W Tidwell Rd, Suite 103, Houston, TX 77040-5714 | 2017-01-04 |
| 1902352701 | Mouin Ct-mri | Radiology | 11375 W Sam Houston Parkway, 150, Houston, TX 77031-2347 | 2016-08-31 |
| 1861888356 | Joe M Moody Sr. | Radiology | 5042 Tangle Ln., Houston, TX 77056-2114 | 2015-04-10 |
| 1689063430 | Kai Xu | Radiology | 6431 Fannin St Ste 2.116, Houston, TX 77030-1501 | 2015-01-16 |
| 1063817203 | Oakridge Imaging LLC | Radiology | 3301 S Shepherd Dr, Houston, TX 77098-3320 | 2014-10-30 |
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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.