| Fattah PLLC | |
|
20212 Champion Forest Dr Ste 100 Spring TX 77379-8781 | |
| (346) 478-6611 | |
| (832) 615-5595 |
| Full Name | Fattah PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 20212 Champion Forest Dr Ste 100, Spring, Texas |
| Authorized Official Name and Position | Tariq Hussain (OWNER) |
| Authorized Official Contact | 8328304316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fattah PLLC 11510 Lago Bella Dr Richmond TX 77406-1572 | Fattah PLLC 20212 Champion Forest Dr Ste 100 Spring TX 77379-8781 Ph: (346) 478-6611 |
| NPI Number | 1659249704 |
|---|---|
| Provider Enumeration Date | 10/28/2025 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Medicare PECOS PAC ID | 2062905292 |
|---|---|
| Medicare Enrollment ID | O20251204004718 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659249704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Fritz S Razvi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376774539 PECOS PAC ID: 7719163633 Enrollment ID: I20110510000793 |
| Provider Name | Tariq Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588061030 PECOS PAC ID: 7416261839 Enrollment ID: I20150729009657 |
| Provider Name | Yasir Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023308210 PECOS PAC ID: 2567772288 Enrollment ID: I20160407002218 |
| Provider Name | Kadel Fradet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447926779 PECOS PAC ID: 0446652739 Enrollment ID: I20250415000253 |
| Provider Name | Sushan Rajmulik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316738529 PECOS PAC ID: 0547765265 Enrollment ID: I20250924002514 |
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