Provider Demographics
NPI:1427108182
Name:HILLCROFT PHYSICIANS, PA
Entity type:Organization
Organization Name:HILLCROFT PHYSICIANS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FOROUGH
Authorized Official - Middle Name:
Authorized Official - Last Name:FARIZANI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-988-3921
Mailing Address - Street 1:6400 HILLCROFT ST., #100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3106
Mailing Address - Country:US
Mailing Address - Phone:713-988-3921
Mailing Address - Fax:713-771-8552
Practice Address - Street 1:6400 HILLCROFT ST., #100
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2461207Q00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX081384201Medicaid
G46173Medicare UPIN
0092CCMedicare PIN
TX081384201Medicaid
00923CCMedicare PIN