IndividualActive
Amanda Fazzalari, M.D.
NPI 1144776139 · Plastic and Reconstructive Surgery Physician · Houston, TX
Provider details
- NPI number
- 1144776139
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- V5529 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Phone: (713) 792-6161
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4439
Houston, TX 77210-4439
Registry dates
- Enumerated
- 2016-08-30
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.