6411 FANNIN ST
HOUSTON, TX 77030-1501 US PECOS Enrolled
Miguel Gerardo Fabrega
Radiologist (Diagnostic Radiology)
- HOUSTON, TX
- Phone: (716)-500-7700
- Last Updated 8/16/2018
Overview
Miguel Gerardo Fabrega is a Radiologist (Diagnostic Radiology) in the HOUSTON area and has over 19 years of experience. Miguel Gerardo Fabrega primary office location is at 6411 FANNIN ST and new patients are welcome to contact this healthcare provider for an appointment. He attended Tulane University School Of Medicine and graduated 2007
Miguel Gerardo Fabrega is affiliated with one hospital in the HOUSTON area, HARRIS HEALTH SYSTEM. The NPI number is 1013187889 and the information was updated approximately 8 years ago.
Miguel Gerardo Fabrega is affiliated with one medical group in the HOUSTON area, UT PHYSICIANS.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| P3318 | TX |
| Board Certifications |
|---|
| Diagnostic Radiology |
| Neuroradiology |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 321322501 | TX |
| MEDICAID | 1005371 | LA |
| Taxonomy | State | Primary? |
|---|---|---|
| Radiologist (Diagnostic Radiology) - Taxonomy Code 2085R0202X | TX | Y |
| Student - Taxonomy Code 390200000X | -- | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20130807000949 |
| PECOS Individual PAC ID: | 0547402380 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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