# MAVIS FUJII MDPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174092100
- **Authorized official:** KAREN YATES (DIRECTOR, CONTRACTING)
- **Authorized official phone:** (713) 517-4022

## Contact information

- **Practice address:** 18333 EGRET BAY BLVD STE 650, HOUSTON, TX 77058-6405
- **Practice address phone:** (281) 333-9933
- **Mailing address:** 3802 VIECREST DR, PEARLAND, TX 77584-5949
- **Mailing address phone:** (713) 517-4022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084N0008X | Neuromuscular Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/20/2018
- **Last updated:** 11/20/2018