Provider Demographics
NPI:1376774539
Name:RAZVI, FRITZ S (PAC)
Entity Type:Individual
Prefix:
First Name:FRITZ
Middle Name:S
Last Name:RAZVI
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16418 EMBER HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7129
Mailing Address - Country:US
Mailing Address - Phone:713-988-3921
Mailing Address - Fax:713-771-8552
Practice Address - Street 1:6400 HILLCROFT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3106
Practice Address - Country:US
Practice Address - Phone:713-988-3921
Practice Address - Fax:713-771-8552
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2009-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA00808363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical