MADISON FANTIN
Student in an Organized Health Care Education/Training Program

Address: 6655 Travis St Ste 460, Houston, TX 77030-1316

MADISON FANTIN (NPI# 1043805526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043805526
Entity Type Individual
Full Name DR. MADISON FANTIN
Gender Female
Credential DDS
Practice Address 6655 Travis St Ste 460
Houston
TX 77030-1316
Practice Telephone 7135008220
Mailing Address 2455 Dunstan Road, Unit 524
Houston
TX 77005
Mailing Telephone 2487872037
Certification Date 2021-03-05
Enumeration Date 2021-03-05
Last Update Date 2021-03-05
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 6655 TRAVIS ST STE 460
City HOUSTON
State TX
Zip Code 77030-1316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831704295 Hillary Denise Howorth Strassner Dentist · Pediatric Dentistry 6655 Travis St Ste 460, Houston, TX 77030-1316 2020-09-12
1598221673 Meredith Murray Ghivizzani Dentist · Pediatric Dentistry 6655 Travis St Ste 460, Houston, TX 77030-1316 2019-02-14
1134345234 Bhavini Acharya Dentist · Pediatric Dentistry 6655 Travis St Ste 460, Houston, TX 77030-1316 2007-04-17
1912074717 Suhasini Reddy Dentist · General Practice 6655 Travis St Ste 460, Houston, TX 77030-1316 2006-11-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962931766 Quoc-Bao Duy Nguyen Dermatology 6655 Travis St Ste 700, Houston, TX 77030-1316 2017-06-06
1255745915 Leon Chen Neurological Surgery 6655 Travis St Ste 650, Houston, TX 77030-1316 2014-06-19
1215357355 Natasha Klimas Dermatology · Dermatopathology 6655 Travis St Ste 700, Houston, TX 77030-1316 2014-04-16
1962849216 Misha Vladislavovich Koshelev · Mikhail Vladislavovich Koshelev Dermatology 6655 Travis St Ste 700, Houston, TX 77030-1316 2013-05-28

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1518551183 Paula Cherry Nurse Practitioner · Neonatal 6621 Fannin St., Houston, TX 77030 2021-02-24
1750975348 Mercedes Taylor · Mercedes Cabanilla Physician Assistant · Medical 1504 Ben Taub Loop, Houston, TX 77030 2021-02-24
1356932123 Morgan Murrey-Ittmann Nurse Practitioner · Critical Care Medicine 1504 Ben Taub Loop, Houston, TX 77030 2021-02-03
1225628092 Emily Ciocca Physician Assistant 6651 Main Street, Houston, TX 77030 2021-01-25
1265022362 Edward Maruri Jr. Registered Nurse 1504 Ben Taub Loop, Houston, TX 77030 2021-01-22
1538759139 Kathleen Marie Cintron General Practice 6565 Fannin Street, Alkek 754, Houston, TX 77030 2021-01-19
1659975035 Jeremy Allan Goldfarb Student in an Organized Health Care Education/Training Program 1515 Holcombe Blvd, Main Building, Floor 9, R9, 1209, Houston, TX 77030 2020-11-25
1396348702 Kelly Mulligan Physician Assistant 6431 Fannin, Msb 2.130b, Houston, TX 77030 2020-11-18
1639770852 Mchaji Celestaine Pharmacist Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 2020-11-04
1851904965 Karim Makhoul Student in an Organized Health Care Education/Training Program 7200 Cambridge Street, Houston, TX 77030 2020-08-28
Find all providers in zip 77030

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093300519 Evan Fox 7500 Cambridge St Ste 6510, Houston, TX 77054-2032 2021-03-05
1528653144 Nicholas Yoshitaka Oda 7500 Cambridge St # 6510, Houston, TX 77054-2032 2021-03-05
1922693449 Joshua David Byrd 7500 Cambridge St Ste 6510, Houston, TX 77054-2032 2021-03-05
1356935787 Sadig Ahmadov 6400 Fannin St Ste 2850, Houston, TX 77030-1540 2021-02-25
1457944738 Chelsea Annette Snipes 1 Baylor Plz, Houston, TX 77030-3411 2021-02-17
1063005726 Huy Pham 7500 Cambridge St, Houston, TX 77054-2032 2021-02-13
1538751342 Chungyen Wu 7500 Cambridge St, Houston, TX 77054-2032 2021-02-03
1659975035 Jeremy Allan Goldfarb 1515 Holcombe Blvd, Main Building, Floor 9, R9, 1209, Houston, TX 77030 2020-11-25
1518561497 Huan Wu 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 2020-11-23
1922601194 Zachary Oltman 6131 Dryad Dr, Houston, TX 77035-3930 2020-11-19
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.