Provider Demographics
NPI:1336557560
Name:FULSHEAR FAMILY HEALTH CONSULTANTS
Entity Type:Organization
Organization Name:FULSHEAR FAMILY HEALTH CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADIHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-230-4162
Mailing Address - Street 1:2222 GREENHOUSE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7287
Mailing Address - Country:US
Mailing Address - Phone:832-230-4162
Mailing Address - Fax:281-206-8075
Practice Address - Street 1:2222 GREENHOUSE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7287
Practice Address - Country:US
Practice Address - Phone:832-230-4162
Practice Address - Fax:281-206-8075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty