Provider Demographics
NPI:1023550290
Name:FAIX, CRISTO
Entity Type:Individual
Prefix:
First Name:CRISTO
Middle Name:
Last Name:FAIX
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 GRAY ST UNIT 4161
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8689
Mailing Address - Country:US
Mailing Address - Phone:787-362-6463
Mailing Address - Fax:
Practice Address - Street 1:110 GRAY ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8500
Practice Address - Country:US
Practice Address - Phone:713-771-8444
Practice Address - Fax:713-771-0977
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX395402355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant