Healthcare Provider Details

I. General information

NPI: 1972428241
Provider Name (Legal Business Name): DAVID PHILIP FELIX JR. FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5166 E OLIVE AVE
FRESNO CA
93727-2423
US

IV. Provider business mailing address

5166 E OLIVE AVE
FRESNO CA
93727-2423
US

V. Phone/Fax

Practice location:
  • Phone: 805-608-0558
  • Fax:
Mailing address:
  • Phone: 805-608-0558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041020
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: