Provider Demographics
NPI:1457095929
Name:FAIRFIELD EMERGENCY PHYSICIANS PLLC
Entity Type:Organization
Organization Name:FAIRFIELD EMERGENCY PHYSICIANS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-619-7937
Mailing Address - Street 1:15103 MASON RD STE E-1
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6755
Mailing Address - Country:US
Mailing Address - Phone:832-619-7937
Mailing Address - Fax:832-736-0246
Practice Address - Street 1:15103 MASON RD STE E-1
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6755
Practice Address - Country:US
Practice Address - Phone:832-619-7937
Practice Address - Fax:832-736-0246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care